For a health plan, the 4 Star line decides bonus payments and the rebate that funds member benefits. Three triple weighted Part D measures — diabetes, blood pressure, and statin adherence — will be measured on 2027 performance. Yet pharmacy data often arrives after the opportunity to intervene has passed.
Adherence is won or lost at the refill – a critical moment to address missed prescriptions, cost or side effect concerns, and signs that a member may stop treatment. Medicare members visit community pharmacies more often than primary care physicians (13 times a year versus 7, in one study), so pharmacies can complement digital tools and AI with conversations at the pharmacy counter.
This private, peer to peer roundtable, hosted by AssureCare, brings together senior health plan executives, from finance to quality, and pharmacy leaders to explore the opportunity and the business case: What can retail pharmacy contribute alongside dispensing, from adherence to GLP 1 support and nutrition? What data, investment, and measures of success would plans and pharmacies need to agree on, and how would you know it worked?
The discussion will be led by AssureCare CEO Yousuf Ahmad and Bill Shinton, VP at Kroger Health, who brings the operator’s perspective.
