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Adoption of medication therapy management programs in Minnesota: 2006-11
Steven Larson1, Sara Drake, Lowell Anderson
1College of Pharmacy, University of Minnesota, 308 Harvard St. SE, Minneapolis, MN 55455, USA. lars1904@umn.edu
Objective:
To assess the adoption of the Minnesota Department of Human Services (DHS) medication therapy management (MTM) program by patients and pharmacists.
Design:
Descriptive nonexperimental study.
Setting:
Minnesota DHS MTM program, from 2006 to 2011.
Main Outcome Measures:
Number of claims, providers, and dollars compensated each year from 2006 to 2011, as well as location of claim submissions and percent of eligible patients served in 2011.
Results:
During 2011, 76 pharmacists were compensated a total of $210,716 for 2,427 claims. Of these claims, 1,009 were initial visits and 1,418 were follow-up visits. In each of the first 6 years of the program, an increase was seen in number of claims, number of pharmacists submitting claims, and dollars compensated. These increases followed exponential curves for total number of claims and dollars compensated with a declining logarithmic curve for pharmacists. From 2010 to 2011, the number of claims and dollars compensated did not increase as much from 2009 to 2010. However, claims data may still increase for 2011 as a result of late submissions. During 2011, the percentage of eligible patients provided services was estimated to be 5.7% to 7.6%.
Conclusion:
The continued increase in use indicates that the program has had a successful beginning and promises to serve many more patients. The small percentage of patients reached should increase with subsequent years. Better strategies to recruit patients and pharmacist providers should increase use of the program.
Insights
The Minnesota Department of Human Services (DHS) medication therapy management (MTM) program saw increasing adoption by pharmacists and patients from 2006-2011. Further recruitment strategies are recommended to expand patient reach.
Area of Science:
- Health Services Research
- Pharmaceutical Policy
- Public Health Interventions
Background:
- The Minnesota Department of Human Services (DHS) established a Medication Therapy Management (MTM) program to improve patient outcomes.
- Understanding the program's adoption rate is crucial for assessing its effectiveness and identifying areas for growth.
Purpose of the Study:
- To evaluate the uptake and utilization of the Minnesota DHS MTM program by both patients and pharmacists.
- To analyze trends in program participation and service delivery over a defined period.
Main Methods:
- A descriptive, nonexperimental study design was employed.
- Data from the Minnesota DHS MTM program between 2006 and 2011 were analyzed.
- Key metrics included annual claims, provider numbers, compensation, claim locations, and the percentage of eligible patients served.
Main Results:
- In 2011, 76 pharmacists provided services for 2,427 claims, receiving $210,716 in compensation.
- The program demonstrated consistent year-over-year growth in claims, participating pharmacists, and compensated amounts from 2006 to 2011.
- An estimated 5.7% to 7.6% of eligible patients received MTM services in 2011, indicating potential for expansion.
Conclusions:
- The Minnesota DHS MTM program shows promising initial success with a continued upward trend in utilization.
- The relatively low percentage of eligible patients served suggests a need for enhanced patient and pharmacist recruitment strategies.
- Further development of outreach and engagement tactics is recommended to maximize program impact.
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