Healthcare Finance News October 15, 2019
Medicare Advantage plans that do well in star ratings must do well with medication adherence.
This is because 50% of star ratings are weighted on medication adherence, according to Jason Rose, CEO of AdhereHealth, a company focused on helping plans achieve adherence. Medication adherence includes measures such as blood sugar glucose, biometric screening and other factors affected by whether members take their prescribed drugs.
In the star ratings, the Centers for Medicare and Medicaid Services has moved from giving credit for reporting measures to improvement in results, Rose said. It’s not enough that plans show patients picked up their drugs from the pharmacy. They must show that a patient is taking the drug 80-percent of the time in a given...
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