Becker's Healthcare August 25, 2025
When it comes to managing chronic illness, taking the right medication at the right time can be the difference between stability and a medical crisis. For the more than 70 million Americans enrolled in Medicaid, many of whom live with multiple chronic conditions, barriers such as fragmented care, limited transportation, and inconsistent access to providers, make medication adherence especially difficult.
While these challenges are longstanding, they require renewed attention. States are actively seeking scalable, value-based strategies to improve outcomes for Medicaid beneficiaries. One increasingly effective solution is the collaboration between pharmacy benefit managers (PBMs) and community pharmacies, combining clinical data insights with local, personalized care delivery.
Medicaid members face distinct challenges
Compared to individuals with commercial insurance, Medicaid beneficiaries are...
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