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Industry information from AdhereHealth

Health plans can position themselves for significant gains in the future by leaning into the potential of MTM efforts

Getting Ahead of the Anticipated CMS MTM Changes: Choose an MTM Partner to Drive Maximum Health Outcomes and Cost Savings 

Managing prescription drug use (and the associated costs) is a perennial challenge for Medicare Advantage (MA) health plans. As the

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Medication Adherence: Start Now to Finish 2023 Strong and Drive Improved MA Star Ratings Performance in 2024 

Each year, the Medicare Advantage (MA) Star Ratings system gets incrementally more challenging for health plans as CMS adjusts the

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Features of a Robust, Data-Driven Technology Solution to Resolve SDOH Barriers for High-Risk Members  

Data is powerful. And the ability of health plans and other entities to leverage data to drive improved medication adherence

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Maximize Cost Reduction Opportunities with Robust Data Dashboard Features

You can’t manage what you can’t measure is a tried-and-true mantra for enterprise leaders everywhere, and for good reason. Full visibility

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The Clock is Ticking: How to Prepare for the 2024 Health Equity Index (HEI) with a Midyear Adherence Program 

2024 is slated to be a big year for Medicare Advantage plans, with some major changes to the Star Ratings

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What do changes to the QI Hold Harmless provision mean for Medicare Advantage plans? 

The quest for continuous improvement is a hallmark of the Medicare Advantage program. The Star Ratings system holds MA plans

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Driving Medical Cost Savings Through Enhanced Drug Therapy Problem (DTP) Resolution

For health plans, driving value is critical. It helps ensure that provided care enables members to achieve positive health outcomes,

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What MA Plans Need to Know About Proposed 2026 Part D Star Ratings Measures

The Centers for Medicare and Medicaid Services (CMS) demand that Medicare Advantage plans remain continuously effective through the provision of

Navigating Changes to the MA Star Ratings Medication Reconciliation Post Discharge and Plan All-Cause Readmission Measures

As Medicare Advantage continues to get more popular among consumers, CMS is sharply focused on ensuring that quality and service

Medication Therapy Management

Medication Therapy Management: Increased CMR Costs Can be Offset by Closing Drug Therapy Problem (DTP) Gaps that Reduce MA Medical Costs

Polypharmacy without vigilant oversight presents significant risks for health plan members, particularly those with complex health needs and non-clinical stressors

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Resolving Health Disparities with the Health Equity Index for Medicare Advantage Plans

CMS is upping the ante on resolving health disparities with its latest proposed rule for the Medicare Advantage (MA) Star

Don’t Fall Behind: What Medicare Advantage (MA) Plans Need to Know about 2024 Proposed Star Ratings Rules

The Medicare Advantage Star Ratings never stop changing, making it imperative for health plans to stay one step ahead of

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