Medicare AdvantageAdministrativeLow impact
[Georgia] Medication adherence: a silent epidemic
Anthem BCBS·GA · Pharmacy, Cardiology, Endocrinology +3 more·Provider Bulletin
Effective date
Mar 30, 2026
We identified it
May 3, 2026
Summary
This is an informational provider bulletin from Anthem Blue Cross Blue Shield (Georgia) regarding medication adherence best practices for Medicare Advantage patients. The policy highlights that nearly 50% of chronic disease patients don't take medications as prescribed and recommends evidence-based strategies such as normalizing adherence conversations, extending days' supply to 90 days, using Real-Time Prescription Benefit tools, and implementing home delivery/auto-refill programs. No billing code changes, prior authorization requirements, or coverage modifications are introduced.
Action Required
No immediate billing or workflow changes required. This is educational guidance for providers. Medical billing team should ensure providers are aware of the recommendations for improving medication adherence outcomes, particularly the use of 90-day supplies and ePrescribing to CarelonRx home delivery when clinically appropriate. Providers may reference this bulletin during clinical decision-making but no claim submission processes, coding, or authorization workflows are affected.