Payer Blog

Articles about Payer

From Interoperability to Execution: What HIMSS 2026 Signals for [...]

HIMSS 2026 signals a shift for payers toward real-time, coordinated action, with interoperability and pharmacy playing key roles in the future model.

8 min read

2026–2027 Medicare Advantage & Part D: What Payers and [...]

CMS’s CY 2027 proposed rule reshapes Star Ratings, while CY 2026 final rules tighten prior auth and Part D requirements. See impacts for payers and pharmacies.

3 min read

What Payers Want From Pharmacist-Provided Services in 2026

How payers can succeed in 2026 by investing in clinical pharmacy programs, modern technology, and connected care that improves outcomes and member experience.

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.

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.

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.

6 min read

Proposed Rule Summary - Medicare Advantage 2025 Proposed Rule

The proposed rule is a detailed outline of all changes and provisions that CMS proposes to make to the Medicare Advantage program in 2025 and beyond.

15 min read

The Benefits of Strong Medication Adherence Programs

Let's discuss the issue of nonadherence and what payers can do to improve these numbers and help more patients.

4 min read

Pharmacy Solutions For Formulary Optimization

Formulary management can result in significant savings for health plans and combat rises in prescription drug prices.

1 min read

Outcomes Collaborates with CaringWire to Provide a New [...]

In this blog, we will discuss how Outcomes has collaborated with CaringWire.

2 min read

Unlocking the Value of Outcomes

Pharmacists are emerging as pivotal players in healthcare. They have the opportunity to provide care that expands their impact beyond dispensing meds.

7 min read

Pharmacists Provide Critical Interventions During Transitions of [...]

There’s opportunity for pharmacists to help avoid the medication errors that occur during a patient's transition of care.

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