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For all the progress made in shifting the U.S. healthcare system toward value-based care, one of the most powerful levers for improving outcomes and reducing costs remains underused: medications.
Medications influence every dimension of health outcomes. They prevent disease progression, reduce hospitalizations, and determine whether chronic conditions stay controlled or spiral into costly complications. Yet, when most organizations talk about medication management, they focus narrowly on adherence or medication therapy management (MTM) programs. While those are important pieces of the puzzle, they only scratch the surface of what’s possible.
To truly achieve value-based care, health plans and providers must view medications not as a siloed metric, but as a holistic, dynamic driver of both quality and cost performance.