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Beginning in MY 2026, CMS is introducing sociodemographic status (SDS) risk adjustment into the three cornerstone Part D adherence measures:

In the world of Medicare Advantage (MA), medication adherence is the workhorse for strong Star Ratings performance. It’s closely tied

As healthcare continues to shift toward value-based care, Pharmacy Benefit Managers (PBMs), Managed Care Organizations (MCOs) and health systems face

With federal rules pushing for better integration of Medicare and Medicaid benefits—and Star Ratings harder to achieve—health plans need more

Commercial health plans face mounting pressure as medical and pharmacy costs continue to rise. Employer groups—both fully insured and self-funded—are

When it comes to solving medication adherence challenges, the stakes are high—and so are the expectations. Health plans are under

Member engagement is a cornerstone of health plan success. When members are actively involved in their care, they’re more likely

Member experience isn’t just a once-a-year sprint during CAHPS season—it’s a year-round strategy that drives satisfaction, trust and outcomes. While

In the evolving landscape of Medicare Advantage (MA) plans, the Centers for Medicare & Medicaid Services (CMS) continually refine their

Medication adherence, like life itself, is a journey—not a destination. And for Medicare Advantage (MA) plans, it’s essential to support

Every year on March 8, the world celebrates International Women’s Day—a global event dedicated to honoring the achievements of women,

Health plans today are swimming in an ocean of data—claims data, pharmacy data, member engagement data and more. But with