What Patients Know About Services to Help Manage Chronic Diseases and Medications: Findings from Focus Groups on Medication Therapy Management

Taylor, Ann M.; Axon, David R.; Campbell, Patrick; Fair, Miranda K.; Nelson, Melissa; Boesen, Kevin; Martin, Rose; Warholak, Terri

doi:10.18553/jmcp.2018.24.9.904

Cited by 15 publications

(13 citation statements)

References 14 publications

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“…84 Findings from studies indicate that the public is unaware of MTM services; therefore, public health campaigns are needed to promote MTM. 85 Providing patient with incentives, such as waived copays, has proven beneficial for MTM programs. 86 In addition to public health campaigns and potential incentives, personalized dialogue about medication use can also assist with patient engagement.…”

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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“…Beneficiaries use the internet, seek health information from the internet, and are interested in learning about their eligibility for MTM services through the internet. 7,16,17 However, even when Part D plans do provide MTM program information on their websites, Medicare beneficiaries may still have challenges with locating the information and understanding the features of the MTM programs.…”

Section: ■■ Discussionmentioning

confidence: 99%

“…6 Three other studies (a survey and focus group interviews) also support the lack of awareness about MTM services but note increased interest in MTM services if beneficiaries knew they were eligible, the service was free, and that MTM would help them take their medications. [7][8][9] Participants in one of the focus group studies wanted to learn about MTM services and their eligibility through the internet. 7 To encourage Part D sponsors to increase awareness and understanding of their MTM programs, CMS issued guidance in its annual memo on MTM programs for contract year 2014 about including MTM program information on the Part D plan sponsors' websites.…”

Section: What Is Already Known About This Subjectmentioning

confidence: 99%

“…[7][8][9] Participants in one of the focus group studies wanted to learn about MTM services and their eligibility through the internet. 7 To encourage Part D sponsors to increase awareness and understanding of their MTM programs, CMS issued guidance in its annual memo on MTM programs for contract year 2014 about including MTM program information on the Part D plan sponsors' websites. 10 Two authors of the current study had previously examined compliance of MTM websites with 5 elements (dedicated MTM web page, web page within 2 clicks, basic information, eligibility information, and access to a personal medication list [PML]) from the 2014 CMS guidance.…”

Section: What Is Already Known About This Subjectmentioning

confidence: 99%

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Online Provision of Part D Medication Therapy Management Program Information

Tong

Cooke

Brandt

2019

JMCP

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BACKGROUND: Low rates of beneficiary participation in medication therapy management (MTM) programs may be partly due to lack of awareness and understanding of the MTM program. To address this, the Centers for Medicare & Medicaid Services (CMS) requires Medicare Part D sponsors to provide online information about their MTM programs. An early study conducted in 2014 found low compliance rates, with only 59.5% of a small convenience sample of Part D plan contract websites compliant with CMS requirements. The current study provides a more recent evaluation of compliance with website requirements using a random sample of Part D plan contracts. OBJECTIVES: To (a) evaluate Part D sponsors' compliance with MTM program website elements that are required and suggested by CMS and (b) investigate the use of elements recommended by the National Institute on Aging (NIA) for websites for older adults. METHODS: A random sample of 184 Part D plan contract MTM program websites was selected from a list of 624 approved Part D plan contracts for 2016. Duplicate and inaccessible websites were excluded. The remaining websites were reviewed to determine compliance with CMS-required, CMS-suggested, and NIA-recommended elements. Descriptive statistics were reported at the Part D contract level for compliance with individual elements, category elements (CMS-required, CMS-suggested, and NIArecommended), and overall compliance. Overall compliance by category was also reported by Part D plan type.RESULTS: Of the 184 MTM websites that were reviewed, 106 remained after excluding duplicate (n = 67) and inaccessible (n = 11) websites: 81 from Medicare Advantage prescription drug (MAPD) plans, 16 from prescription drug plans (PDPs), and 9 from Medicare-Medicaid plans (MMPs). Overall, 51% of Part D plan contract MTM websites were compliant with all of the 14 CMS-required elements. The only element in the CMS-suggested elements category, "accessibility by clicking through a maximum of two links," had a compliance rate of 79%. For the NIA-recommended elements category, 46% of the Part D plan contract MTM websites were compliant with the 4 elements. CONCLUSIONS: Medicare Part D plan sponsors are providing information about their MTM programs on plan websites. However, only 51% of Part D plan websites are fully compliant with CMS guidance, providing all required elements.

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“…13 On the other hand, MTM program enrollment differences, or low enrollment in general, could be due to lack of perceived benefit or need for MTM services by eligible Medicare beneficiaries. 24,25 For example, when Doucette et al (2007) surveyed Medicare beneficiaries on their perceptions of pharmacist-provided counseling and MTM services, the beneficiaries had a more favorable attitude toward counseling activities compared with MTM services. 24 The authors attributed this finding to the novelty of MTM services at the time of the study.…”

Section: Understanding the Socioeconomic And Geographical Characteristics Of Beneficiaries Receiving A Comprehensive Medication Reviewmentioning

confidence: 99%

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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What Patients Know About Services to Help Manage Chronic Diseases and Medications: Findings from Focus Groups on Medication Therapy Management

Cited by 15 publications

References 14 publications

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

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

Online Provision of Part D Medication Therapy Management Program Information

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

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