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The Impact of COVID-19 on CMS Star Ratings

It’s no secret that the COVID-19 pandemic has impacted just about every facet of our lives—and the way we measure quality performance is no exception. In fact, the Centers for Medicare & Medicaid Services (CMS) changed the Star Ratings ...
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How to Improve SUPD Quality Performance

Healthcare payers are tasked with reducing costs, increasing efficiencies, and improving quality performance and individual health outcomes. By proactively identifying and addressing gaps in care, payers can elevate Centers for Medicare and Medicaid ...
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7 Questions Asked at the 2021 PQA Leadership Summit

In November, the Pharmacy Quality Alliance (PQA) hosted its 2021 Leadership Summit, a hands-on event where key executives from member organizations come together to detail PQA goals, objectives, and initiatives. As a long-time PQA member, ...
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Success with Enhanced Medication Therapy Management

In 2021, 48 million Medicare beneficiaries enrolled in Part D plans. Medication therapy management (MTM) for Medicare Part D endeavors to prevent dangerous drug mixes, overmedication, and drug misuse among people with certain qualifying chronic ...
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How to Create a Successful Star Ratings Program

One thing goes without saying: When it comes to quality measures, every health plan aims for a five-star rating—and for good reason. Eighty percent of Medicare members are enrolled in plans with four- or five-star quality ratings,  up 76 percent ...
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4 Ways to Optimize Your Retail Pharmacy Workflow

In the retail pharmacy business, workflow efficiency is essential. Day-to-day operations can impact everything from a retail pharmacy’s bottom line to patient satisfaction, patient safety, and quality performance.  “Today, pharmacies have to be at ...
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3 Benefits of Multi-Channel Marketing for Pharma

In recent years, pharmaceutical companies have embraced multi-channel marketing (MCM) strategies to improve the effectiveness and efficiency of their initiatives, expand their reach, and adapt to ever-evolving consumer expectations. Multi-channel ...
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Which Conditions Have the Lowest Adherence Rates?

Chronic conditions  impact 6 in 10 Americans, according to estimates by the Centers for Disease Control and Prevention (CDC). Many of those patients are prescribed medication to treat their condition; however, medication non-adherence in patients ...
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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 ...
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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 ...
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