Medicare AdvantageAdministrativeLow impact
[New York] Medication adherence: a silent epidemic
Anthem BCBS·NY · Pharmacy·Provider Bulletin
We identified it
May 27, 2026
Summary
This is an informational provider bulletin from Anthem Blue Cross Blue Shield (New York) regarding medication adherence best practices for Medicare Advantage members. It outlines evidence-based strategies to improve medication adherence, such as normalizing adherence conversations, extending days' supply to 90 days, using Real-Time Prescription Benefit tools, and implementing home delivery programs. No specific billing code changes, prior authorization requirements, or coverage modifications are announced.
Action Required
No immediate action required for billing team. This is educational guidance for providers on medication adherence strategies. Providers may voluntarily implement recommended practices such as utilizing 90-day supplies, ePrescribing to CarelonRx home delivery, and Real-Time Prescription Benefit tools during prescribing. No claims processing, documentation requirements, or billing workflow changes are mandated.