Performance Improvement 2009. How Can Medication Therapy Management Programs Be Improved?


This study explored the evolving field of medication therapy management (MTM) and sought to understand attributes of MTM programs potentially useful for the Medicare program, including structure of organizations providing MTM, services and interventions included, providers involved, how beneficiaries are targeted, differences from and integration with disease management programs, financing, and outcomes. Statute requires that a prescription drug plan or Medicare Advantage plan that offers prescription drug coverage have an MTM program.

There was no clear evidence which practice models or elements contributed to clinical outcomes. Common features found among both public and private MTM programs included reliance on pharmacists as primary service providers, comprehensive medication review that included reconciliation of drug therapies with prescribers’ records, and patient education and monitoring. The study found areas where the program could continue to be refined including coordination with stand-alone prescription drug plans and potential overlap of responsibilities between plan and nursing home consultant pharmacists for institutionalized patients.

Report Title: Exploratory Research on Medication Therapy Management
Agency Sponsor: CMS-ORDI, Office of Research, Development, and Information
Federal Contact: Steve Blackwell, 410-786-6852
Performer: Abt Associates, Inc.
PIC ID: 8951

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"PerformanceImprovement2009.pdf" (pdf, 1.26Mb)

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