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The Impact of COVID-19 on Quality Measures: The New Reality

The COVID-19 pandemic derailed much of what was once standard in healthcare, and quality measures are no exception. On March 26, 2020, the Centers for Medicare and Medicaid Services (CMS) published their response document, outlining regulatory ...
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Patient Intervention: Effective Tactics for Pharmacies, Payers, and Pharma

Medication adherence rates for most chronic disease medications hover around 50-60 percent. This results in sky-high healthcare costs and preventable morbidity or mortality. Patient intervention programs can promote adherence, but choosing the right ...
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Leveraging AI to Improve the Patient Journey

The patient journey is paramount in healthcare today. Newly emerging technologies, shifting industry dynamics, and evolving consumer preferences are reshaping what the modern patient experience should look like.  That’s why more and more healthcare ...
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Optimize Performance-Based Pharmacy Reimbursements

Over the last several years, PBMs and other payers have instituted performance-based contracts that leverage direct and indirect remuneration (DIR) fees to alter prescription-level reimbursement.  Although each contract can be complex, the burden ...
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The Halo Effect of Adherence to Antidepressants

In the popular imagination, depression is chronic sadness. In reality, it is a devastating illness with widespread mental and physical health effects. One of the most common challenges of depression is a motivation deficit. People with depression ...
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How a Medication Adherence Program Can Increase Pharmacy Revenue

Pharmacies today face significant challenges, from ever-increasing competition with retailers to  quality performance measures to high costs of care and beyond. Like any business, pharmacies must maintain a healthy revenue stream to remain ...
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Can Pharmacy Interventions Improve Medication Adherence Rates?

If you’re looking for ways to optimize patient medication use, you may find yourself wondering: Can pharmacy interventions improve adherence rates? The short answer is yes. Pharmacy interventions can be incredibly effective in  closing gaps in care, ...
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Medication Adherence Barriers for Children with Diabetes

As of 2020, around  210,000 children and adolescents under age 20 in the U.S. are diagnosed with diabetes, and cases are on the rise. Although type 1 diabetes is much more common in children, type 2 diabetes is also beginning to  increase in young ...
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The Importance of Diabetes Medication Adherence

Diabetes is the seventh leading cause of death in the United States. Despite this grim statistic, diabetes medication adherence rates are surprisingly low, especially given that diabetes responds well to treatment. A 2016 study found that at least ...
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The Coming Revolution of AI Analytics in Healthcare

As our Medicaid health plan clients tell us, reimbursement is a numbers game. State evaluations using the National Care Quality Alliance’s HEDIS and other endorsed measurements play a major role in reimbursement. But making measurable improvements ...
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