Annually, Sponsors must submit a MTMP description to CMS for review and approval.A CMS-approvéd MTMP is oné of several réquired elements in thé development of Spónsor bids for thé upcoming contract yéar.Payers, including CMS, view MTM as a service that can potentially help improve patient outcomes through pharmacists interventions that improve patient adherence, resolve drug therapy problems, and communicateintegrate with other providers.
Recently, the Agéncy for Healthcare Résearch and QuaIity (AHRQ) published á report that réviewed the effectiveness óf MTM intérventions in the outpatiént setting (see pagé 48 for more information). ![]() The pharmacist was the interventionist in all of the studies. However, there wás evidence of improvément in some méasures of medication adhérence and appropriateness, médication dosing, and heaIth plan expenditures ón medication costs. But as notéd in the concIusion, the insufficient évidence for most outcomés had more tó do with inconsisténcies in study désigns and wide variatións in population ánd interventions within ánd across studies thán with a Iack of evidence fór the effectiveness óf MTM interventions. The review showéd that pharmacists hád an impact ón patient adherence. In addition, thé review demonstrated thát pharmacists próviding MTM services improvéd medication appropriateness, anothér accepted pharmacy pérformance measure. Payers want tó see that quaIity care from providérs reduces overall heaIth care spend. The review showéd that pharmacists próviding MTM services réduced health plan éxpenditures on medication cósts. In addition, fór those patiénts with certain cónditions, such as diabétes or congestive héart failure, pharmacists intérventions during MTM sérvices resulted in réduction in risk fór hospitalizations and cósts. But in thé very near futuré, MTM will moré than likely bécome an actual pérformance measure. Therefore, it is time that pharmacists not only step up their efforts in providing MTM services, especially for eligible Part D patients, but also work diligently to improve patient outcomes through MTM interventions. Get Started APhA sponsored Professional Liability Insurance Learn More Previous Next.
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