Rx360 as a Star Rating Weapon: How Real-Time Adherence Data Unlocks Billions in Medicare Bonus Payments

Format: PDF

Overview

This document examines how Rx360's real-time medication adherence data can directly improve Medicare Advantage plan Star Ratings by driving performance on CMS Proportion of Days Covered (PDC) measures. It outlines the financial stakes of Star Rating tiers and positions Rx360 as a strategic tool for health plans seeking quality bonus payments.

Key Topics

• CMS Medicare Star Ratings methodology and scoring thresholds
• Proportion of Days Covered (PDC) measures for diabetes, hypertension, and cholesterol medications
• Financial impact of Star Rating improvements on Medicare Advantage bonus payments
• Real-time adherence data as a plan quality intervention
• Rx360 value proposition for health plan partners