Category: Medication Therapy Management
In a recent report from Centers for Medicare & Medicaid Services (CMS) News, almost 12 million Medicare beneficiaries received an average of $2,272 in discounts per person totaling over $26.8 billion since the inception of the Affordable Care Act in 2010. Acting Administrator for CMS,
The Challenge Health plans and PBMs are facing the highest CMR completion rate hike to obtain a 5-star rating in 2017. CMS has set the table for plans and PBMs to focus on health outcomes – driving MTM services towards being the level of pharmacy –
A recent study showed the number of specialty drugs filled from 2003 to 2014 tripled, causing U.S. insurers’ to nearly quadruple specialty drug spending. The Centers for Medicare and Medicaid Services (CMS) define specialty drugs as medications costing $600+ per month. According to Health Affairs, commercial insurance plan spending climbed 32% over that period. The number of specialty prescription drugs filled also rose from .6% to 1.8%, showing the need for Medication Therapy Management now more than ever.