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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Payer Posts

Closing the Gaps in Diabetes Care
4 min read

Closing the Gaps in Diabetes Care

During Diabetes Awareness Month, Outcomes unites pharmacists, payers, and manufacturers to close care gaps and improve outcomes for people with diabetes.

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.

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