In-house or Outsourced: Choosing the Right Care Delivery Model for MTM
Health plans and organizations are under constant pressure to improve patient outcomes, reduce costs, and support value-based care initiatives. One area with immense potential to drive all three goals? A strong, scalable medication management strategy.
At Aspen RxHealth, we believe the future of medication management lies in innovation, flexibility, and pharmacist-led care. That’s why we’ve built two distinct delivery models to help health plans and healthcare organizations tailor their approach based on their unique needs.
Whether you're looking to empower your in-house clinical team with smarter tools or need a trusted partner to deliver pharmacist-led care on your behalf, Aspen RxHealth has you covered with our two delivery models:
- Alliance by Aspen RxHealth: A scalable, customizable SaaS platform designed for your in-house care teams
- The Aspen RxHealth pharmacist community: A nationwide network of licensed pharmacists who deliver clinical services through our BeWell with Aspen RxHealth platform
Both models are designed to improve medication adherence, close care gaps, and boost Star Ratings. The right choice for your organization depends on your internal resources, clinical goals, and how you want to scale care.
Why scalable care delivery models matter in value-based care
The transition to value-based care continues to shift accountability from volume to outcomes. With this shift, the role of the pharmacist has become more vital than ever. Studies show that nearly 80% of patients view pharmacists as a key component of their health care team, while 62% trust their pharmacist to provide adult vaccinations, including flu shots.
Not only are pharmacists trusted among their patients, but their effectiveness has improved patient health, while saving on healthcare costs. Around 50% uptake of a pharmacist prescribing intervention to improve blood pressure control was associated with a $1.137 trillion in cost savings and has the potential to save an estimated 30.2 million lives over 30 years.
Further, pharmacist-driven interventions are closely tied to key performance metrics, including CMS Star Ratings, HEDIS, and CAHPS. For health plans to succeed in this landscape, they need a medication management solution that adapts to their infrastructure, whether they already have an internal team, are building one, or prefer to outsource medication therapy management services entirely.
A one-size-fits-all approach doesn’t work for organizations with diverse member populations, different staffing models, and varying levels of internal clinical support. That’s why Aspen RxHealth’s flexible delivery models are built not only to meet you where you are, but to grow with you.
The challenge: Medication management at scale
Many health plans and healthcare organizations face similar barriers when trying to scale MTM and medication management programs. Those barriers include:
- Limited internal pharmacist capacity.
- High costs and difficulty associated with recruiting, training, and retaining MTM specialists.
- Inconsistent medication reviews or gaps in member outreach.
- Struggles to meet value-based benchmarks and improve adherence.
- Difficulty reaching multilingual or rural populations.
- Lack of scalable tools to support quality reporting and operational efficiency.
These challenges can stall progress, impact patient outcomes, and ultimately affect your plan’s financial performance.
Alliance by Aspen RxHealth: The care delivery model to power your in-house care team
Alliance is Aspen RxHealth’s web-based SaaS medication management platform designed specifically for organizations that want to retain full control of their medication management strategy and build their internal infrastructure.
This solution supports internal care teams by providing a scalable, compliant, and efficient platform that streamlines MTM delivery from end to end.
Key features of Alliance include:
- Infrastructure built for in-house clinical teams.
- Real-time reporting to track interventions and patient outcomes.
- Automated and guided workflows to ensure CMS compliance and improve operational efficiency.
- Targeted member segmentation for prioritizing interventions.
- Shared member management and team-based collaboration.
- Option to integrate the Aspen RxHealth nationwide pharmacist community to support overflow or targeted populations.
When to choose Alliance:
- You are a health plan/health system that has an existing clinical in-house team that delivers medication management services or is building infrastructure to do so.
- You may also need additional pharmacist support from the Aspen RxHealth community to reach your completion goals.
- You want complete control over workflows, member engagement, and performance metrics.
- You’re looking for a scalable platform to grow your MTM program with operational efficiency.
Alliance gives you the tools to strengthen your internal teams while retaining autonomy and control over care delivery.
Outsourced clinical pharmacy services through Aspen RxHealth’s nationwide pharmacist community
For health plans and organizations that need additional help delivering MTM and medication management services and/or reaching specific populations, the Aspen RxHealth nationwide pharmacist network offers a fully outsourced care delivery model, powered by our BeWell platform.
Why organizations choose Aspen RxHealth’s pharmacist network:
- Culturally competent care in 28+ languages, delivering culturally competent and accessible care.
- Expertise across 50+ clinical areas, offering expertise in chronic disease management, complex medication regimens, and adherence strategies.
- Nationwide reach, allowing for scalable, on-demand medication management services to fit your health plan’s needs.
- Trained in motivational interviewing, our pharmacists are skilled in empathetic, member-centered communication, empowering patients to take an active role in their care. By meeting members where they are, they make health conversations approachable, actionable, and judgment-free.
This highly personalized, evidence-based approach strengthens member engagement, increases medication adherence, and fosters the kind of trust that leads to higher satisfaction scores and better outcomes across HEDIS and CAHPS measures. Our outsourced model gives you immediate access to clinical expertise without the cost or burden of building and maintaining an internal team.
Hybrid approach: How BeWell powers both care delivery models
For many health plans, the best solution isn’t either/or, it’s both. A hybrid model lets you empower your internal care team with Alliance while tapping into the Aspen RxHealth pharmacist community for added support when needed. No matter which model you choose, Alliance, outsourced, or both, BeWell is the engine that powers it all.
Here’s how both models are supported:
- Automated clinical rules engine to identify intervention opportunities.
- Guided workflows to ensure quality, consistency, and CMS compliance.
- Real-time reporting portal to track intervention rates, outcomes, and team performance.
- Built-in scalability that supports both in-house and external teams.
This approach is ideal for managing volume surges or overflow, reaching diverse or hard-to-reach member populations, and combining internal clinical oversight with external execution power.
The flexibility of a hybrid approach allows your organization to scale services up or down without sacrificing quality or compliance. So, whether you’re delivering medication management services in-house or via our pharmacist community, your care is consistent, scalable, and measurable.
Choosing the right care delivery model
To determine the best fit for your organization, ask yourself the following questions:
- Do we have an internal clinical team or are we building one?
- Do we need a solution that can be implemented quickly or one that supports long-term infrastructure?
- How much control and customization do we need over workflows and reporting?
- Do we serve geographically or linguistically diverse populations?
- Are we looking to scale MTM efforts quickly or enhance existing operations?
By assessing your organizational structure, clinical capacity, and member needs, you can choose a delivery model, or combination, that sets you up for long-term success. There’s no one-size-fits-all approach to medication management, and that’s a good thing.
Whether you choose Alliance to empower your internal care team, our nationwide pharmacist community to deliver medication management services on your behalf, or a hybrid model for maximum flexibility, Aspen RxHealth offers scalable models tailored to your goals.
Both delivery models are powered by BeWell, providing consistency, quality, and measurable outcomes across the board. With the right delivery model, you can improve medication adherence, close care gaps, and elevate your organization’s performance under value-based care.
Let’s build the right medication management strategy together. Contact us today for a personalized consultation or demo.