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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