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Why Patient Engagement Should Be Your Top Priority

Patient engagement is more than just a buzzword—it’s a must in healthcare today. As patients become savvier consumers with greater expectations, payers and PBMs must find new ways to reimagine engagement and actively involve patients in their own care. Why?… Read

How DIR Fees Impact Pharmacies

Direct and indirect remuneration fees (DIR) can have a significant impact on pharmacy revenue and reimbursements. These fees, which are retroactive in nature, have increased by a noteworthy 91,500 percent over the past decade. If you work in the pharmacy… Read

3 Ways to Improve Clinical Quality Measures

Clinical quality measures are a top priority in healthcare today. With reimbursements now directly tied to quality measures, payers are increasingly incentivized to maximize their plan’s performance and ultimately improve their Centers for Medicare and Medicaid Services (CMS) Star Ratings,… Read

Improving Medication Adherence to Specialty Drugs

Adherence to specialty drugs is essential for managing and treating chronic and complex conditions. However, pharmaceutical companies face a myriad of unique challenges in medication adherence to specialty drugs. In fact, a study on specialty populations revealed that 58 percent of patients… Read

Identifying and Addressing Gaps in Care

The U.S. healthcare system is highly fragmented in nature. Poor care coordination and disparities between best practices and the care received can lead to dangerous clinical errors, poor patient outcomes, and increased healthcare spending. As such, payers and other healthcare… Read

How Certain Quality Measures Impact Each Other

For payers, improving clinical quality measures for Medicare plans has become a top priority to boost Centers for Medicare and Medicaid Services (CMS) Star Ratings and maximize quality performance. Understanding how different measures impact each other is essential to improve… Read

How Smart Data Can Optimize Your Patient Support Programs

These days, nearly everything is driven by data in one way or another. Data empowers us to make better, more strategic decisions in many areas of life. Now, we are seeing more and more how smart data can help personalize… Read

Preventing Non-Adherence in Asthma Patients

Asthma is a common and costly condition, impacting  around 25 million people in the U.S. and  upwards of 262 million globally. Although treating asthma is possible with the right treatment plan, non-adherence to asthma medications poses a problem, exacerbating health… Read

Factors That Influence Medication Adherence

Medication adherence is a complex issue that impacts the entire healthcare industry. Patients fail to take their medications as prescribed  for many reasons, and the consequences are often significant. To improve medication adherence, it’s essential to have a solid understanding… Read

How Machine Learning Can Help With Non-Adherence

Machine learning powers many of the services we regularly use, from personalized recommendations on Netflix and Spotify to voice assistants such as Siri or Alexa. In recent years, machine learning has gained momentum in healthcare due to the vast amount… Read

How Medication Adherence Impacts Medicare Part D Star Ratings

Medication adherence is a critical area of focus for health plans that evaluate quality performance. Payers are incentivized to increase medication adherence among Medicare Advantage Part D (MAPD) patients in order to boost Star Ratings, bring down costs, drive overall… Read

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