Medication therapy management survey of the prescription drug plans. Export

@article{Boyd_JAPhA_November_2006, abstract = {OBJECTIVE: To evaluate the preliminary development and implementation plans for medication therapy management (MTM) services across plan sponsors for the Medicare Part D Prescription Drug Plans (PDPs) and provide pharmacists with insights for MTM development. DESIGN: Cross-sectional survey. SETTING: United States. PARTICIPANTS: 307 individual contacts from Medicare Advantage or stand-alone PDPs. INTERVENTION: A survey comprising questions about the PDP demographics, plans and implementation, beneficiary eligibility criteria, scope of services, providers of services, and payment structure for MTM services was e-mailed and mailed in November 2005. MAIN OUTCOME MEASURES: Descriptive and bivariate analysis of survey items. RESULTS: A total of 97 usable surveys were completed, a 31.5\% response rate. Almost all respondents had a plan in place for MTM services. The majority of PDPs perceived that MTM would have a moderate benefit to their organization. Most PDPs planned to focus efforts on diabetes, heart failure, and other forms of cardiovascular disease. Overwhelmingly, PDPs planned to follow the Centers for Medicare \& Medicaid Services (CMS) mandate for criteria regarding beneficiary eligibility. Only 8.2\% of respondents planned to use a "traditional" pharmacist, such as a community, long-term care, hospital, or clinic pharmacist. The majority of PDPs (53.6\%) planned to employ managed care pharmacists to administer MTM services. CONCLUSION: Pharmacists are eager to implement MTM services and are looking for PDPs to provide a path of implementation and reimbursement. Many PDPs were planning to deliver MTM services internally using health professional staff, thereby limiting the extent of participation of community, long-term care, hospital and health-system, and clinic-based pharmacists. Further research and advocacy are required to ensure that MTM services accomplish the true intent of the congressional and CMS mandates.}, address = {College of Pharmacy, Xavier University of Louisiana, Natchitoches, LA 71457, USA. Sboyd1@xula.edu}, author = {Boyd, S. T. and Boyd, L. C. and Zillich, A. J.}, citeulike-article-id = {1535445}, citeulike-linkout-0 = {http://view.ncbi.nlm.nih.gov/pubmed/17176684}, citeulike-linkout-1 = {http://www.hubmed.org/display.cgi?uids=17176684}, issn = {1544-3191}, journal = {J Am Pharm Assoc (2003)}, keywords = {bm, medicare, medicare\_part\_d, medication\_therapy\_management, mtm, senior\_care\_research}, number = {6}, pages = {692--699}, posted-at = {2007-08-04 19:53:38}, priority = {2}, title = {Medication therapy management survey of the prescription drug plans.}, url = {http://view.ncbi.nlm.nih.gov/pubmed/17176684}, volume = {46}, year = {2006} }

TY - JOUR ID - Boyd_JAPhA_November_2006 L3 - citeulike-article-id:1535445 N2 - OBJECTIVE: To evaluate the preliminary development and implementation plans for medication therapy management (MTM) services across plan sponsors for the Medicare Part D Prescription Drug Plans (PDPs) and provide pharmacists with insights for MTM development. DESIGN: Cross-sectional survey. SETTING: United States. PARTICIPANTS: 307 individual contacts from Medicare Advantage or stand-alone PDPs. INTERVENTION: A survey comprising questions about the PDP demographics, plans and implementation, beneficiary eligibility criteria, scope of services, providers of services, and payment structure for MTM services was e-mailed and mailed in November 2005. MAIN OUTCOME MEASURES: Descriptive and bivariate analysis of survey items. RESULTS: A total of 97 usable surveys were completed, a 31.5% response rate. Almost all respondents had a plan in place for MTM services. The majority of PDPs perceived that MTM would have a moderate benefit to their organization. Most PDPs planned to focus efforts on diabetes, heart failure, and other forms of cardiovascular disease. Overwhelmingly, PDPs planned to follow the Centers for Medicare & Medicaid Services (CMS) mandate for criteria regarding beneficiary eligibility. Only 8.2% of respondents planned to use a "traditional" pharmacist, such as a community, long-term care, hospital, or clinic pharmacist. The majority of PDPs (53.6%) planned to employ managed care pharmacists to administer MTM services. CONCLUSION: Pharmacists are eager to implement MTM services and are looking for PDPs to provide a path of implementation and reimbursement. Many PDPs were planning to deliver MTM services internally using health professional staff, thereby limiting the extent of participation of community, long-term care, hospital and health-system, and clinic-based pharmacists. Further research and advocacy are required to ensure that MTM services accomplish the true intent of the congressional and CMS mandates. IS - 6 JF - J Am Pharm Assoc (2003) SN - 1544-3191 AD - College of Pharmacy, Xavier University of Louisiana, Natchitoches, LA 71457, USA. Sboyd1@xula.edu EP - 699 TI - Medication therapy management survey of the prescription drug plans. VL - 46 SP - 692 KW - bm KW - medicare KW - medicare_part_d KW - medication_therapy_management KW - mtm KW - senior_care_research AU - Boyd, ST AU - Boyd, LC AU - Zillich, AJ PY - 2006///c UR - http://view.ncbi.nlm.nih.gov/pubmed/17176684 ER -