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09-10-2018

Medication Non-Adherence and MAPD Members with Chronic Conditions

Three out of four seniors have multiple chronic conditions. It’s clear that understanding the ins and outs of these members is not only useful, it’s critical. Find out where innovations in medication adherence come into play.

09-10-2018

Trends in Medicare

By 2035, seniors (those aged 65 years or older) will outnumber children (those under the age of 18). At that time, every baby boomer in the U.S. will be “retirement age” —and therefore Medicare age. What challenges will MAPD plans and their members face?

09-04-2018

Perspectives on Medicare Part D Premiums

In 2018, we’ve seen CMS work to lower prescription drug costs, specifically attempting to decrease Medicare Part D premiums for Medicare beneficiaries. Though there seems to be mixed reactions to the effort.

08-27-2018

Challenges of Caring for Dual-Eligibles

Dual-eligibles must be considered differently when health plans are implementing care and quality improvement strategies, as they are more likely than other beneficiaries to rely on their health plans for long-term, acute care, or post-acute care services. What does that mean for MAPD plans?

08-20-2018

Analytics Platform Improves More Than Adherence Rates

Most plans struggle to tackle the administrative and data-heavy needs that such strategies require. We worked with a client, a regional health plan, to overcome these obstacles with our customized platform: RxEffect.

08-06-2018

What Telehealth Really Means for Health Plans

With 44 digital health mergers and acquisitions in 2017 and new health ventures in 2018 that include companies like Amazon and Wal-Mart, the age of health tech innovation is just getting started.

07-23-2018

Deprescribing Combats Polypharmacy Complications

One in five drugs prescribed to those 65 years and older may be inappropriate; we researched the medical cost savings from deprescribing the most commonly overprescribed medications, finding several potential benefits beyond cost savings.

07-16-2018

Beyond Phone Interventions: Empowering Provider Networks to Maximize Adherence

It takes more than PBM phone interventions to create and maintain successful medication adherence programs that help health plans meet performance goals. Find out how a longtime MAPD plan client worked with RxAnte to increase provider adoption of RxEffect and improve adherence rates.

07-09-2018

6 Things Health Plans Need to Create Successful Medication Adherence Programs

It’s no secret that provider-patient relationships are integral to improving medication adherence, yet physicians are often hindered in this process. Read on to discover how health plans can help physicians overcome these barriers.

07-03-2018

Activating Local Retail Pharmacies to Improve Stars Adherence Measures

In 2017, one large regional MAPD plan decided to pursue an innovative approach to improving member adherence by designing and running an incentive-based engagement program. Read on to discover how they implemented a Pharmacy Incentive Program with local retail pharmacies.