Billing

Medication non-adherence leads to poor treatment outcomes, avoidable hospitalizations, an estimated 125,000 deaths annually, and U.S. healthcare costs of up to $300 billion. Medication adherence is a heavily weighted factor in the CMS Medicare Advantage and Part D Star Ratings. While pharmacies are not directly rated by CMS star ratings for medication adherence, they can

To improve Medicare Advantage star ratings requires strong focus on patient outcomes, medication adherence, preventive care, and member experience. The Centers for Medicare & Medicaid Services (CMS) Medicare Advantage plan star ratings were created to measure how well health plans support members through preventive care, chronic disease management, medication adherence, and overall satisfaction. Plans that

Star ratings for hospitals are public indicators of clinical quality, patient satisfaction, and financial performance. With the push for value-based care models, hospitals must find smarter ways to improve outcomes and protect revenue. In this article, we explain how star ratings are calculated, why they impact patient care and revenue, and how technologies like remote