Medication Adherence

CVS Health-Aetna Merger Sealed, WellCare Takes Aetna’s Part D PDP

by Kelsey Waddill

Judge Richard Leon granted the settlement between the federal government and CVS Health, which divests Aetna’s Medicare Part D prescription drug plan (PDP) to WellCare. The judge stated that the...

BCBSAZ Tackles Medication Adherence Through Mobile Health

by Kelsey Waddill

Blue Cross Blue Shield Arizona (BCBSAZ) is using text message-based patient outreach to address prescription drug affordability and medication adherence, BCBSAZ announced. The healthcare payer has...

Medicare Part D Pharmacy Benefit Managers Get 0.4% of Rebates

by Kelsey Waddill

After facing over $100 billion in Medicare Part D expenditures in 2016, Congress called on the Government Accountability Office to discern the pharmacy benefits manager’s (PBM’s) role in...

Targeted Medication Review Key for Medication Therapy Management

by Kelsey Waddill

A Humana study comparing the differences in medication therapy management (MTM) services found that targeted medication reviews (TMR) were highly successful interventions. “This study highlights...

CVS Health Expands Diabetes Program, Includes Preventive Care

by Kelsey Waddill

CVS Health is expanding its diabetes care model to incorporate preventive care and treat hypertension. This move comes after CVS Health has reported considerable success with the first iteration of...

Pros and Cons of Electronic Prior Authorizations, Prescribing

by Kelsey Waddill

A new rule from CMS calls for electronic prior authorization (ePA) updates, aiming to improve prescribers’ decision-making processes, ease administrative burden, and decrease the wait time for...

How Payers Can Develop a Medication Therapy Management Program

by Thomas Beaton

As the cost of medication non-adherence reaches over $300 billion annually, payers are increasingly challenged to provide new solutions to address the healthcare and economic impacts of non-adherence....

Payer Strategies for Improving Member Medication Adherence Rates

by Thomas Beaton

Payers are spending billions of dollars annually on medications that aren’t improving the health outcomes, with financial and health literacy proving to be the most common barriers to...

4 Major Ways to Succeed in Value-Based Care Payment Strategies

by Vera Gruessner

What areas should payers and providers focus on when contracting through a value-based care payment strategy? In order to succeed in value-based care payment models, insurers and practitioners may need...