To keep you better informed about the biggest trends and developments affecting medication management, medication adherence, and clinical pharmacist services, here are some of the most significant news reports published in September. Highlights include stories on Medicare Advantage Star ratings, NCQA's health plan ratings, the Inflation Reduction Act, and motivational interviewing:
McKinsey & Co. noted that due to impending changes to the methodology used to calculate Medicare Advantage Star ratings, highly rated plans may struggle to retain their ratings in the coming years.
The National Committee for Quality Assurance (NCQA) released its 2022 health plan ratings. Most eligible plans rated around 3.5 stars overall. Out of 1,048 health plans that received a numerical rating, just six earned the highest rating of 5 stars.
A HealthLeaders article shared key findings from the NCQA's 2022 health plan ratings. Among them: Patient experience is only going to become more important.
A study showed that incorporating a clinical pharmacist into the National Hemophilia Foundation's comprehensive care model for patients with hemophilia improved outcomes and reduced medication costs.
Research revealed that a 20 percent improvement in cardiovascular (CV) medication adherence could reduce the risk for any CV event by eight percent and the risk for all-cause mortality by 12 percent among patients with coronary artery disease.
6. A Review of 62 Studies Finds Few Big Differences Between Traditional Medicare and Medicare Advantage on a Variety of Measures
KFF reviewed more than 60 studies published since 2016 that compared Medicare Advantage and traditional Medicare on various measures. In the increasingly crucial area of "getting needed prescription drugs," Medicare Advantage enrollees reported better experiences than traditional Medicare beneficiaries. Among beneficiaries with diabetes, cancer, or a mental health condition, findings were mixed.
Research indicated that people living in large urban areas may be less likely to take prescribed medications for high blood pressure than those in smaller rural communities. Research also showed that gay and bisexual people appear less likely to take prescribed medications for high blood pressure than their straight peers.
AHIP research revealed that about 22 cents of the average healthcare premium dollar go towards prescription drugs. Meanwhile, nearly 83 cents of the average healthcare premium dollar goes towards prescription drugs and medical services, which includes inpatient and outpatient costs, emergency room costs, and doctor visits.
AARP provided a year-by-year implementation timeline of the Inflation Reduction Act's health provisions.
A Pharmacy Times column discussed how motivational interviewing can help patients remain adherent to their therapy and maximize the benefits of their medications.