Posts

AI, Access and the New Face of Patient Engagement

Following last week’s PQA Convenes panel discussion—where AdhereHealth CEO Kempton Presley joined industry leaders to explore “AI in Practice Today:

Skin in the Game: Why At-Risk Models Are Reshaping Healthcare Partnerships

Forbes Business Council – In healthcare, outcomes—not just services—define success. That’s why at-risk models, which tie payment directly to performance,

The Unique Power of Care Navigators to Improve Health Outcomes in Medicare-Age Adults

Imagine being elderly, juggling prescriptions from three different specialists, and trying to remember whether the blue pill should be taken

Addressing Patient Medication Safety: How to Boost Performance on COB and Poly-ACH Measures

Medication safety has become an urgent priority as Medicare Advantage members increasingly rely on prescription drugs to manage chronic conditions.

Medication Adherence as a Journey—A Year-Round Strategy for Medicare Advantage Success

American Journal of Managed Care – Across Medicare Advantage, medication adherence stands at the crossroads of member health and financial performance.

Navigating Medicare Advantage SDS Risk Adjustment Changes to Adherence Measures

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

A Playbook to Boost Medication Adherence

Fierce Healthcare: Podnosis podcast – Medication nonadherence remains one of the most entrenched challenges in healthcare. Despite decades of awareness

Maximizing Impact: How “Companion Measures” Strengthen Medication Adherence Strategies 

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

3 Ways PBMs, MCOs and Health Systems Can Differentiate in a Value-Based World

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

As D-SNP Enrollment Grows, So Does the Need for Smarter, More Integrated Support

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