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Industry information from AdhereHealth

Medicare Advantage cost reduction strategies to protect against Stars uncertainty

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

Resolving Medicare Advantage financial challenges

Navigating Medicare Advantage Headwinds: Rebalancing for Adherence

According to Q2 2025 earnings data, Medicare Advantage (MA) is facing notable pressure. Between challenges such as the rollout of

AI in healthcare patient engagement

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:

Care navigator strategies for Medicare Advantage members

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

Strategies to improve performance on COB and Poly-ACH Measures

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.

Medicare Advantage adherence strategies for SDS risk adjustment

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:

Medication adherence strategies for Medicare Advantage members

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

value-based care strategies, pbms, mcos and health systems

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

D-SNP checklist for engaging dual-eligible Medicare members

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

commercial health plan strategies, the balance of cost and care

3 Trends Commercial Health Plans Must Address to Balance Cost and Care

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

Details for building a multi-pronged medication adherence strategy

Top 5 Reasons Health Plans Win with a Multi-Pronged Medication Adherence Approach  

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

Medicare Advantage member engagement strategies that improve adherence and outcomes

Eight Ways to Increase Member Engagement: Best Practices for MA Health Plans

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

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