Resources to Deliver Better Patient Outcomes

The Outcomes® team is proud to be a thought leader in delivering unified healthcare solutions that connect pharmacists, payers and pharmaceutical manufacturers.

Explore our resources to stay informed on how Outcomes is powering collaborative, connected patient care. 

Pharmacy Content

 

Pharmacy Press Releases

Pharmacy Blogs

Understanding Your PBM Contract: Brand vs. Generic Drug Pricing

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.

As the Year End Approaches, Let’s Talk About the Importance of a Vaccine Program in Your Pharmacy

As the Year End Approaches, Let’s Talk About the Importance of a [...]

Discover why a pharmacy-led vaccine program is essential for patient care, operational efficiency, and business growth. Learn how to streamline workflows, drive revenue, and build community trust—just in time for the new year.

Understanding AWP and Your Pharmacy’s Drug Blend

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

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. 

Get Ready for Wholesaler Shows: Outcomes is Empowering Pharmacy and Strengthening Your Bottom Line

Get Ready for Wholesaler Shows: Outcomes is Empowering Pharmacy [...]

Over the past year, we’ve been working on innovative solutions that deliver both business and clinical outcomes by leveraging connected technologies and the industry's largest pharmacist network. Outcomes enables pharmacies like yours to succeed in a rapidly evolving healthcare landscape. 

Payer Blogs

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

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

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

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

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
Payer

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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