Pharmacy Benefit Management
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2:36Watch VideoAdministrative Automation, Innovation and Simplification for Health Plans
Evolent Health Services is innovating so health plans can focus on what matters most: their members and providers.
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Read Insight Brief
Continuous Improvement in Medication Adherence Stars Measures
Learn how a targeted, data-driven medication adherence program can help Part D plans to achieve top marks from Medicare.
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Read ArticleHow the Right PBM Can Boost the Member Experience—and Star Ratings
As member ratings, complaints and other experience measures take on added weight in the Medicare Stars program, having the right pharmacy benefit management is critical for drug plans.
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Read ArticleBuilt for Speed and Savings: How a Nimble PBM Can Help Health Plans Control Drug Spend
Whether it's rapidly detecting fraud, waste and abuse or quickly adopting new generic medications, a nimble pharmacy benefit manager can drive drug savings for health plans.
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50:04Watch VideoDriving Continuous Improvement in STARS Adherence Measures
Learn how data-driven targeting, outreach and monitoring can drive continuous improvement in adherence to help your plan become—or remain—a top performer.
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Read ArticleManaging Drug Spend Without ‘Squeezing the Balloon’: The Case for Integrating Pharmacy and Medical Benefits
Integration supports better care, member experience and cost control.
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Read ArticleThe Heart of Care: Thorough Review Uncovers a Missing Medication
Performing a patient’s annual medication review, Evolent Clinical Pharmacist Avani Arora recognized a vital missing drug and quickly addressed the issue.
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Read ArticleThe Stretch Test: How Flexible is Your Health Plan's PBM Partner?
Several criteria can help determine whether a PBM is truly willing to bend to meet a plan’s goals.
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