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Area of Science:

  • Health Services Research
  • Pharmaceutical Policy
  • Health Communication

Background:

  • Medicare prescription drug plans must offer annual Comprehensive Medication Reviews (CMRs) to eligible beneficiaries.
  • CMR completion rates are a key quality measure for Medicare plans, impacting star ratings and bonus payments.
  • Most plans currently score low on CMR completion rates, indicating a need for improvement.

Purpose of the Study:

  • To evaluate a standardized recruitment script designed to increase Medicare beneficiaries' acceptance of CMR offers.
  • The script emphasizes the benefits of CMR services from the beneficiary's perspective.

Main Methods:

  • A randomized controlled experiment compared a new, benefit-focused CMR recruitment script against an original script.
  • Live call agents offered CMR services to Medicare beneficiaries via phone calls.
  • CMR acceptance rates were compared between beneficiaries receiving the updated script versus the original script.

Main Results:

  • Beneficiaries receiving the updated script were 1.58 times more likely to accept the CMR offer (48.2%) compared to those receiving the original script (38.1%).
  • Increased chronic medications, more disease conditions, and prior MTMP involvement were associated with higher CMR acceptance.
  • Approximately 10% of eligible beneficiaries were reached via live calls.

Conclusions:

  • A standardized script emphasizing CMR benefits effectively increases beneficiary willingness to participate.
  • Improving CMR engagement requires educating beneficiaries about Medication Therapy Management (MTM) programs and CMR benefits.
  • This strategy offers a practical approach for Medicare plans to enhance CMR completion rates.