Variation in Medication Therapy Management Delivery: Implications for Health Care Policy

Abstract

This research and a portion of Snyder's salary were supported by grant number K08HS022119 from the Agency for Healthcare Research and Quality. The content is solely the responsibility of the authors and does not necessarily represent the official views of the Agency for Healthcare Research and Quality. Snyder reports consulting fees from Westat for an evaluation of the CMS Enhanced MTM program. The other authors have nothing to disclose. Portions of this research have been presented as abstracts at the following conferences: (a) 2017 Academy Health Annual Research Meeting; June 25-27, 2017; New Orleans, LA; (b) 2015 American Society of Health-System Pharmacists Clinical Midyear Meeting; December 4-8, 2015; New Orleans, LA; and

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

“…9 Moreover, as authors have noted previously, outcomes from MTM services have been mixed. 10 Since the enactment of the Act, a plethora of studies have found that MTM services effectively reduce potentially inappropriate medication use and medication nonadherence. However, a systematic review conducted in the last decade demonstrates substantial variation in performance across PDPs and PDPs have not proven that their MTM services improve patient outcomes or reduce health care expenditures.…”

Perceived roles of independent community pharmacists and pharmacy technicians in patient referrals to community resources: A Study from the Medication Safety Research Network of Indiana (Rx‐SafeNet)

“…These findings echo a recent study examining MTM delivery through application of the CCM. That study found that referrals to community resources during MTM delivery was limited, partly due to a lack of pharmacist familiarity with available resources, and that follow‐up MTM consultations were less common …”

“…14 found that referrals to community resources during MTM delivery was limited, partly due to a lack of pharmacist familiarity with available resources, and that follow-up MTM consultations were less common. 10 As pharmacist roles have expanded into direct patient care services, optimizing the utilization of pharmacy technicians and other support staff has been a commonly cited consideration. 16 referrals.…”

“…Moreover, as pharmacists expand their roles in patient care and health promotion, they are becoming increasingly recognized as sources of health information; often, pharmacies serve as informal community health access points with pharmacy staff being the initial point of care for many patients . However, recent work examining medication therapy management (MTM) delivery through application of the CCM found that referrals to community health resources as part of MTM are uncommon due to pharmacist and staff reported lack of familiarity with resources available, and the perception that these referrals are not a part of MTM . It is unknown how these findings are similar or different when community pharmacists are providing care outside of MTM.…”

“…9 However, recent work examining medication therapy management (MTM) delivery through application of the CCM found that referrals to community health resources as part of MTM are uncommon due to pharmacist and staff reported lack of familiarity with resources available, and the perception that these referrals are not a part of MTM. 10 It is unknown how these findings are similar or different when community pharmacists are providing care outside of MTM.…”