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Convention 2016

Techs in the Know

Medicare Part D Star Rating: 

Pharmacy Quality Measurement

Star Ratings are affecting

your pharmacy now! 

The Star Ratings program

developed by CMS

doesn’t give individual

pharmacies a Star Rating.  

Rather, pharmacy claim

data is analyzed to assign

a Star Rateing to Part D

Prescription Drug Plan (PDP)

or Medicare Advantage Plan

with prescription drug benefits.

Recent changes in healthcare

laws have put a greater

emphasis on paying for health

care that improves patient

outcomes and reduces spending

that does not lead to improved

outcomes.  Of the 5 measures,

3 are adherence related. 

The 4 Part D domains of

the Star Ratings are:

1.       Drug Plan Customer Service

2.       Member Complaints

3.       Member experience with plan

4.       Drug Pricing and Patient Safety

—included in this domain is medication safety & adherence


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