Even Modest meds Adherence Improvement can be Financially Transformative for Health Systems

As healthcare continues to advance with accountable care organizations and value-based care models, the industry is starting to see some real traction after a decade of groundwork in the form of CMS claims for the Medicare Shared Savings Program.There are some critical elements driving success here. The role of medication adherence and patient engagement are pivotal factors for continuing to achieve ACO and VBC goals. And even modest improvements in medication adherence can drive significant economic impacts for health system.The value-based care journey spans more than two decades, with early efforts marked by significant challenges. In the beginning, organizations struggled with systems interoperability, data sharing and the high cost of technology upgrades – barriers that complicated the shift from fee-for-service to value-based models, which rely heavily on data analytics and EHR systems.

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Medication adherence is essential in any chronic disease management strategy. We've all seen the stats on the high costs of nonadherence: the readmissions, emergency visits and complications that arise when patients don't take medications as prescribed. And we know intuitively – without needing detailed data – that if patients with diabetes skip their insulin, the next stop is likely the hospital.


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