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A Continued Focus on Stars Programming Improves Performance While Lowering Healthcare Costs
Medicare Advantage (MA) plans are feeling the ripple effects of a changing Star Ratings landscape. Fewer plans are earning 4-5
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Medicare Advantage (MA) plans are feeling the ripple effects of a changing Star Ratings landscape. Fewer plans are earning 4-5
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According to Q2 2025 earnings data, Medicare Advantage (MA) is facing notable pressure. Between challenges such as the rollout of
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Following last week’s PQA Convenes panel discussion—where AdhereHealth CEO Kempton Presley joined industry leaders to explore “AI in Practice Today:
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Imagine being elderly, juggling prescriptions from three different specialists, and trying to remember whether the blue pill should be taken
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Medication safety has become an urgent priority as Medicare Advantage members increasingly rely on prescription drugs to manage chronic conditions.
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Beginning in MY 2026, CMS is introducing sociodemographic status (SDS) risk adjustment into the three cornerstone Part D adherence measures:
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In the world of Medicare Advantage (MA), medication adherence is the workhorse for strong Star Ratings performance. It’s closely tied
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As healthcare continues to shift toward value-based care, Pharmacy Benefit Managers (PBMs), Managed Care Organizations (MCOs) and health systems face
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With federal rules pushing for better integration of Medicare and Medicaid benefits—and Star Ratings harder to achieve—health plans need more
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Commercial health plans face mounting pressure as medical and pharmacy costs continue to rise. Employer groups—both fully insured and self-funded—are
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When it comes to solving medication adherence challenges, the stakes are high—and so are the expectations. Health plans are under
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Member engagement is a cornerstone of health plan success. When members are actively involved in their care, they’re more likely