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A new ballgame: comprehensive medication review
1Paoli, Indiana.
Summary
Comprehensive medication review is now an annual Medicare Part D service for qualified beneficiaries. This change offers consultant pharmacists new payment opportunities for services provided to Medicare patients in long-term care facilities.
Area of Science:
- Gerontology
- Health Policy
- Pharmacology
Background:
- Since January 1, 2013, comprehensive medication review (CMR) is a required annual service for Medicare Part D plans.
- This policy aims to improve medication therapy management (MTM) for all beneficiaries, including those in long-term care (LTC).
Purpose of the Study:
- To highlight the significance of the Centers for Medicare & Medicaid Services' (CMS) mandate for annual CMR.
- To explore the potential for consultant pharmacists to be reimbursed for MTM services in LTC facilities.
Main Methods:
- Analysis of the Medicare Part D prescription drug plan requirements for MTM services.
- Review of the role of consultant pharmacists in providing medication regimen reviews.
Main Results:
- CMR is now a mandatory annual MTM service for Medicare Part D beneficiaries.
- Consultant pharmacists may receive payment for providing MTM services to individual Medicare beneficiaries in LTC facilities.
Conclusions:
- The CMS mandate strengthens the provision of quality MTM services.
- This policy presents a new avenue for consultant pharmacist reimbursement for services rendered to LTC residents.
Keywords:
CMR = Comprehensive medication reviewCMS = Centers for Medicare & Medicaid ServicesCenters for Medicare & Medicaid ServicesComprehensive medication reviewMAP = Medication action planMRR = Medication regimen reviewMTM = Medication therapy managementMedication action planMedication regimen reviewMedication therapy managementPML = Personal medication listPersonal medication listTMR = Targeted medication reviewTargeted medication reviewMore Related Videos
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