Another facet to this is "Medication Adherence" which is defined generally as taking medication properly, but which the drug industry defines as taking all of your medication, and getting a refill for more. Speaking only as a lobbyist who has (regrettably) worked for a Pharmacy Benefit Manager in the past, there is tremendous amount of money and thought being put into how to get patients to take all of their medication. The belief is that this will lead to patients refiling that prescriptions, oh and probably help them overall, but refills are the number one priority for the drug industry.
Along with some other people in the healthcare industry (process person at a large provider, product person at a large EHR), I'm trying to make a map of the "systems truth" of healthcare in America.
We'd love to talk to you (in confidence!) about how the PBM part of the world works. Please reach out to me if you'd be interested - contact information is in my HN bio.
