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Pharmacist-provided telephonic medication therapy management in an MAPD plan.
1Humana Inc, Competitive Health Analytics, 321 W. Main St, WFP6W, Louisville, KY 40202, USA. mward@humana.com
The American Journal of Managed Care
|October 18, 2011
Summary
Pharmacist-led telephonic medication therapy management programs (MTMP) significantly reduced healthcare spending for Medicare Advantage Prescription Drug (MAPD) plan members. This intervention offers a cost-effective strategy for health plan sponsors.
Area of Science:
- Health Economics
- Pharmaceutical Services
- Health Plan Management
Background:
- Health plan sponsors seek cost-effective interventions to manage expenditures.
- Medication Therapy Management Programs (MTMP) aim to optimize medication use and improve patient outcomes.
- Telephonic delivery offers a scalable approach to MTMP implementation.
Purpose of the Study:
- To assess the economic impact of a pharmacist-provided telephonic MTMP on healthcare spending.
- To evaluate cost-effectiveness from a health plan sponsor's perspective.
- To analyze expenditures within a Medicare Advantage Prescription Drug (MAPD) plan population.
Main Methods:
- Pre-post analysis with a matched control group.
- Propensity score matching identified 432 MTMP-eligible members and 432 controls.
- Difference-in-difference analysis assessed changes in all-cause healthcare spending.
Main Results:
- The MTMP group experienced a $3680/member decrease in post-intervention spending.
- The control group saw a $393/member increase in post-intervention spending.
- MTMP consultation was associated with significantly lower total expenditures.
Conclusions:
- Pharmacist-delivered telephonic MTMP consultations effectively reduce total healthcare expenditures.
- MTMP represents a valuable cost-saving strategy for health plans.
- Telephonic MTMP can be a key component in managing healthcare costs for MAPD members.
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