In a post COVID-19 world, it’s more critical than ever for health plans to gain market share as well as decrease costs associated with poor outcomes. By achieving the 5 star rating in the Star Rating Program, Medicare Advantage prescription drug plans and stand-alone prescription drug plans are able to enroll members throughout the calendar year compared to those plans who are only allowed to enroll members through open enrollment.
By achieving the higher rating, these plans are also subject to a bonus payment of around 5%. One way to achieve the higher rating is to focus on the triple weighted medication adherence measures. Plans can enroll in the AB2D program to receive the Medicare Part A and B claims for their enrollees which will help them to better track medication adherence and control their overall costs and outcomes. Read more about the opportunity below.