Medicare AdvantageAdministrativeLow impact
[California] Medication adherence: a silent epidemic
Anthem BCBS·CA·Provider Bulletin
We identified it
May 3, 2026
Summary
This is an informational provider bulletin from Anthem Blue Cross (California) about medication adherence best practices for chronic disease management. It outlines evidence-based strategies to improve medication adherence rates among Medicare Advantage members, including normalizing adherence conversations, reducing financial barriers, extending days' supply to 90 days, and implementing reminder programs. No billing code changes, prior authorization requirements, or coverage policy modifications are announced.
Action Required
No immediate billing or workflow changes required. This is educational guidance. Providers may voluntarily implement recommended strategies: (1) incorporate medication adherence screening into routine office visits, (2) prescribe 90-day supplies when clinically appropriate, (3) use Real-Time Prescription Benefit (RTPB) tools during prescribing to show patients cost-effective options, (4) utilize CarelonRx home delivery via ePrescribe for eligible chronic medications, and (5) implement reminder programs for patients late to refill. No system updates, form changes, or documentation requirements are mandated by this bulletin.