Higher Predictive Value Positive for MMA Than ACA MTM Eligibility Criteria Among Racial and Ethnic Minorities: An Observational Study

Qiao, Yanru; Spivey, Christina A.; Wang, Junling; Shih, Ya Chen Tina; Wan, Jim Y.; Kuhle, Julie; Dagogo‐Jack, Samuel; Cushman, William C.; Chisholm-Burns, Marie A.

doi:10.1177/0046958018795749

Cited by 1 publication

(2 citation statements)

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“…28 A recent study reported that MMA MTM eligibility criteria possess higher efficiency than ACA criteria. 29 Given the limitation of both ACA and MMA MTM eligibility criteria, alternative MTM eligibility criteria are needed. One such possible alternative that can potentially alleviate disparity issues is to deem MTM eligibility by identifying medication utilization issues using the quality measures in CMS Part D Star Ratings.…”

Section: Discussionmentioning

confidence: 99%

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Comparative Effectiveness of Medication Therapy Management Eligibility Criteria Across Racial/Ethnic Groups

Spivey

Qiao

Wang

et al. 2019

J American Geriatrics Society

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BACKGROUND/OBJECTIVES Previous research indicates that eligibility criteria for medication therapy management (MTM) services in Medicare prescription drug (Part D) plans, defined under the Medicare Modernization Act (MMA), are associated with racial/ethnic disparities and ineffective in identifying individuals with medication utilization issues. Our study's objective was to determine the comparative effectiveness of MTM eligibility criteria under MMA and in the Affordable Care Act (ACA) in identifying patients with medication utilization issues across racial/ethnic groups. DESIGN ACA and MMA MTM eligibility criteria were compared on proportions of eligible individuals among patients with medication utilization issues. Multinomial logistic regression was conducted to control for patient/community characteristics. Need‐based and demand‐based analyses were used to determine disparities due to need and demand for healthcare. Main/sensitivity analyses were conducted for the range of eligibility thresholds. SETTING Medicare data (2012‐2013) linked to Area Health Resources Files. PARTICIPANTS A total of 964 610 patients 65 years or older. MEASUREMENTS Medication safety/adherence measures, developed primarily by the Pharmacy Quality Alliance, were used to determine medication utilization issues. RESULTS Higher proportions of patients were eligible based on ACA than MMA MTM eligibility criteria. For example, in 2013, proportions based on ACA and MMA MTM eligibility criteria would be 99.7% and 26.2%, respectively, in the main analysis (p < .001); in the demand‐based main analysis, ACA criteria were associated with 13.6% and 9.8%, respectively, higher effectiveness than MMA criteria among non‐Hispanic blacks and Hispanics than non‐Hispanic whites. CONCLUSION ACA MTM eligibility criteria are more effective than MMA criteria in identifying older patients needing MTM, particularly among minorities. J Am Geriatr Soc 67:581–587, 2019.

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Section: Discussionmentioning

confidence: 99%

“…Lee et al pointed out that a 1% increase in the efficiency among those identified for MTM services could potentially translate to considerable cost savings for health plans due to the large size of the target population . A recent study reported that MMA MTM eligibility criteria possess higher efficiency than ACA criteria …”

Section: Discussionmentioning

confidence: 99%