Findings from a National Survey of Medicare Beneficiary Perspectives on the Medicare Part D Medication Therapy Management Standardized Format

Brandt, Nicole; Cooke, Catherine E.; Sharma, Kriti; Chou, Joshua; Carden, Mary Jo; Kumbera, Patty; Pellegrin, Karen L.

doi:10.18553/jmcp.2019.25.3.366

Cited by 10 publications

(7 citation statements)

References 9 publications

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“…46,[88][89][90] Improving patient satisfaction and information about MTM services provided by pharmacies needs to become common so the services are sold through word-of-mouth. [91][92][93] There is a tremendous, untapped opportunity to improve patient expectations of community pharmacist-provided MTM services.…”

Section: Considerations To Improve Patient Engagement In Mtmmentioning

confidence: 99%

<p>Medication Therapy Management: Current Challenges</p>

Ferreri¹,

Hughes²,

Snyder³

2020

IPRP

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Medication therapy management (MTM) services have evolved as a means for pharmacists and other providers to assist patients and caregivers in improving therapeutic outcomes and reducing health care expenditures. More than a decade has passed since the Medicare Modernization Act of 2003 provided pharmacists with the opportunity to deliver MTM services to Medicare beneficiaries. MTM continues to offer pharmacists the opportunity to use their knowledge; yet, pharmacists have reported challenges with service delivery. Identifying the challenges that affect MTM services in pharmacy practice is necessary in order to seek improvement to MTM delivery. This narrative review explores the current challenges pharmacists face with MTM delivery, summarizes potential solutions for addressing challenges, and seeks to incite further debate, service reconfiguration, and ultimately service improvement of pharmacist-provided MTM services.

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Section: Considerations To Improve Patient Engagement In Mtmmentioning

confidence: 99%

<p>Medication Therapy Management: Current Challenges</p>

Ferreri¹,

Hughes²,

Snyder³

2020

IPRP

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“…However, the demographic information collected in the survey was reflective of the greater Medicare beneficiary population. 7 According to the Medicare Payment Advisory Committee report, 74% of the beneficiaries were White, compared with 82.7% of our respondents who identified themselves as White. 29 Additionally, the majority of respondents lived in large metropolitan areas as defined by the NCHS urban-rural classification scheme, which is generally Centers for Prevention and Disease Control data.…”

Section: Limitationsmentioning

confidence: 72%

“…There were 434 unique surveys that were received from the previous study. 7 The survey response was 4.3%. Of the 434 unique respondents, 300 provided their ZIP codes.…”

Section: ■■ Resultsmentioning

confidence: 98%

“…A previous study performed by several of the authors of this article assessed the perspectives of Medicare beneficiaries on the utility of the Medication Therapy Management (MTM) Standardized Format (SF). 7 A link to an electronic survey was distributed nationally by Medicare Part D plans that had partnered with the research team through the AMCP MTM Advisory Group. The plans distributed the survey link electronically to a sample of beneficiaries who received MTM services from 2017-2018.…”

Section: ■■ Methodsmentioning

confidence: 99%

“…Additional details of the survey design and dissemination can be found in the corresponding publication. 7 As part of the survey, respondents could provide demographic information, including age, gender, race/ethnicity, ZIP code, and education. They could also provide other information such as self-health rating and number of medications.…”

Section: ■■ Methodsmentioning

confidence: 99%

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Understanding the Socioeconomic and Geographical Characteristics of Beneficiaries Receiving a Comprehensive Medication Review

Chou

Pellegrin

Cooke

et al. 2020

JMCP

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BACKGROUND: Medicare Part D sponsors are required to offer medication therapy management (MTM) programs to eligible beneficiaries. Recent studies have demonstrated that there have been racial/ethnic disparities in MTM eligibility criteria. For example, compared with non-Hispanic White beneficiaries, Hispanic and non-Hispanic Black beneficiaries are less likely to be eligible for MTM. However, there is limited evidence for socioeconomic and geographical characteristics of those who are eligible and receive MTM services. OBJECTIVE: To describe the demographic, socioeconomic, and geographic characteristics of Medicare beneficiaries who received MTM services. METHODS: As part of a previous study, a national survey evaluated a convenience sample of perspectives of Medicare beneficiaries on the MTM standardized format. The survey was distributed through Medicare Part D plans to beneficiaries receiving MTM services from 2017-2018. As part of the survey, respondents could provide their ZIP codes. Geographical variables, such as the National Center for Health Statistics (NCHS) urbanrural classification scheme and economic research service (ERS) county typology codes, were then applied to respondents' ZIP codes, allowing for the classification of counties or census tracts by urbanization and economic dependence measures. Descriptive statistics are reported for demographic, geographical, and socioeconomic information.RESULTS: Of the 300 (of 434) respondents who provided their ZIP codes, 51.3% were aged 65-74 years; 50% were male; and 66.7% had at least a college education. There were 82.7% who self-identified as White, while only 8% self-identified as Hispanic or Black/African American. The majority of respondents (58.4%) lived in large metropolitan areas as defined by the NCHS urban-rural classification scheme. Respondents' counties were characterized by economic dependence with 14.0% of respondents living in federal/state government-dependent counties and 12.7% living in recreation-dependent counties.CONCLUSIONS: The majority of respondents who provided their ZIP codes identified themselves as White and lived in large metropolitan areas. Respondents who identified themselves as Hispanic or Black/African American were not well represented. This study provides geographical and socioeconomic characteristics of Medicare beneficiaries who received MTM services and highlights racial/ethnic differences. Further work is needed to confirm geographical and socioeconomic disparities among beneficiaries who received MTM services.

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Medication therapy management: The evolution of clinical pharmacy services in U.S. Community‐Based Pharmacy Practice—An opinion of the community‐based practice and research network of the American College of Clinical Pharmacy

Eddy,

Ballou,

Finke

et al. 2024

J Am Coll Clin Pharm

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Pharmacists in all settings are continually expanding their roles and responsibilities and advocating for the profession. Pharmacists, as medication experts, are trained to identify and resolve medication therapy problems. The act of providing clinical pharmacist expertise is not tied to a specific practice setting, but rather is the mindset in which a pharmacist approaches patient‐centered practice. In community‐based pharmacy settings, pharmacists have been providing clinical services for years through Medication Therapy Management (MTM) and other enhanced services which prioritize quality care. This manuscript will outline the history of the pharmacist's role in managing patients utilizing MTM, present evidence of positive patient care outcomes from pharmacist‐led services in the community‐based setting, and provide recommendations for United States payers to acknowledge and increase payment for pharmacist‐led services. This paper represents the opinion of the Community‐Based Practice and Research Network of the American College of Clinical Pharmacy (ACCP) in the United States. It does not necessarily represent an official ACCP commentary, guideline, or statement of policy or position.

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Findings from a National Survey of Medicare Beneficiary Perspectives on the Medicare Part D Medication Therapy Management Standardized Format

Cited by 10 publications

References 9 publications

<p>Medication Therapy Management: Current Challenges</p>

<p>Medication Therapy Management: Current Challenges</p>

Understanding the Socioeconomic and Geographical Characteristics of Beneficiaries Receiving a Comprehensive Medication Review

Medication therapy management: The evolution of clinical pharmacy services in U.S. Community‐Based Pharmacy Practice—An opinion of the community‐based practice and research network of the American College of Clinical Pharmacy

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