Pharmacy Benefit Management
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.
How 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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Built 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.
Driving 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.
Managing Drug Spend Without ‘Squeezing the Balloon’: The Case for Integrating Pharmacy and Medical Benefits
Integration supports better care, member experience and cost control.
The 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.
The 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.