Outcomes Blog 

From the latest industry trends to the newest ideas, you can find valuable and relevant information on community pharmacy on our blog. As the largest technology partner for independent pharmacy, Outcomes provides blogs on a wide range of topics, including technology, patient care, rules and regulations, innovations, customer spotlights and more.

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Pharmacy Posts

Stay Covered, Stay Connected: Help Patients Choose the Right Medicare Plan All year Long
5 min read

Stay Covered, Stay Connected: Help Patients Choose the Right [...]

Medicare Open Enrollment is here. Discover how your pharmacy can guide patients through coverage choices with the Outcomes Plan Finder tool.

Answering the Call: A Journey in Pharmacy and Purpose
1 min read

Answering the Call: A Journey in Pharmacy and Purpose

A pharmacist driven by purpose, blending science, strategy, and service to shape healthcare policy and innovation.

Making a Difference on Both Sides: Janelle's Pharmacy Technician Journey
2 min read

Making a Difference on Both Sides: Janelle's Pharmacy Technician [...]

The spotlight is on Janelle Alber for National Pharmacy Technician Day. The balance of supporting customers and working in the pharmacy drives her.

Understanding Your PBM Contract: Brand vs. Generic Drug Pricing
6 min read

Understanding Your PBM Contract: Brand vs. Generic Drug Pricing

Each year, your contract sets the rates for brand and generic drug reimbursement—but what do those numbers really mean? This article unpacks the pricing mechanics and reveals how a small 1% shift can make a big difference to your pharmacy’s bottom line.

Understanding AWP and Your Pharmacy’s Drug Blend
5 min read

Understanding AWP and Your Pharmacy’s Drug Blend

At the heart of this uncertainty lies a deeply flawed generic pricing structure, based on a loosely related pricing reference (Average Wholesale Price or AWP), and accompanied by a ‘rule of averages’ governor (Generic Effective Rates or GERs) that can be too easily tampered with.

Your Pharmacy’s Ultimate Tackle Box: How Premium Helps You Reel in Success
4 min read

Your Pharmacy’s Ultimate Tackle Box: How Premium Helps You Reel [...]

Premium offers a comprehensive, all-in-one platform that empowers pharmacies to streamline operations, increase revenue, and provide better patient care. 

Payer Posts

Bridging the Gap: How Targeted Interventions Improved Mental Health Outcomes for Medicaid Members
3 min read

Bridging the Gap: How Targeted Interventions Improved Mental [...]

For over 75 years, May has been recognized as Mental Health Awareness Month, an annual observance dedicated to highlighting the importance of mental well-being, educating the public, reducing stigma, encouraging early intervention, and supporting those affected by mental health conditions. 

Proactive, Not Reactive: The Payer Perspective on Women’s Preventive Health
2 min read

Proactive, Not Reactive: The Payer Perspective on Women’s [...]

Women sit at the center of the healthcare ecosystem, not only as patients, but as decision-makers and caregivers. Women make approximately 80% of healthcare decisions for their families (Becker’s Hospital Review), a statistic that underscores the importance of ensuring their access to consistent, high-quality preventive care. 

2026 Rate Announcement: MTM Update
2 min read

2026 Rate Announcement: MTM Update

The 2026 Rate Announcement released on 4/7/25 included a decision from CMS not to retire the CMR completion rate measure. While CMS acknowledged stakeholder feedback opposing retirement without an outcomes-based replacement, they confirmed the measure will remain on the display page due to the expanded MTM eligibility requirements.

Early Preview: Insights and Results from the MTM Expansion
4 min read

Early Preview: Insights and Results from the MTM Expansion

In order to expand the population eligible for MTM, CMS modified criteria requirements by establishing an expanded list of targeted disease states and reducing the drug spend threshold.

Final Rule Details
8 min read

Final Rule Details

The Final Rule was released on April 4, 2024 detailing updates to criteria utilized for MTM Program enrollment effective January 1, 2025.

The Top 3 Areas Payers Should Focus on to Raise the Bar in 2024
5 min read

The Top 3 Areas Payers Should Focus on to Raise the Bar in 2024

Here are three clinical areas that payers and their pharmacy care partners will need to emphasize in 2024.

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