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New adherence program aims to keep health plans on track with value-based goals — 4 insights

Clinical Support Services created a value-based adherence program for health plans to stay on track with the proportion of days covered for fragile populations.

Here's what you should know:

1. CSS plans to help plans cover at least 80 percent of eligible days.

2. The 80 percent threshold is essential for plans to achieve a high star rating from CMS.

3. The adherence program captures the reasons for non-adherence and attempts to understand the root cause of the issues.

4. CSS believes the program will help plans meet Medicare Part C and Part D bonus criteria.

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