医疗保险药物治疗管理:国家CMS医疗保险服务费样本 (2013年至2016年) 中的受益人特征和利用模式
概括
医疗保险药物治疗管理 (MTM) 计划的招生和服务从2013-2016年增加,但患者接受率仍然很低. 需要进一步的研究来了解参与驱动因素,并优化MTM程序交付.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 制药政策 制药政策
- 老年人药房 老年人药房
背景情况:
- 医疗保险药物治疗管理 (MTM) 计划成立于2006年,旨在优化符合条件的受益人药物使用.
- 关于MTM程序的利用和特征的研究有限.
研究的目的:
- 在国家范围内的医疗保险费用服务 (FFS) 受益人样本中描述入学者和MTM计划特征.
- 分析2013年至2016年间的MTM程序利用趋势.
主要方法:
- 在5%的Medicare FFS受益者 (2013-2016) 的随机样本上进行了描述性的时间序列分析.
- 检查了MTM招生,招生标准 (CMS与扩展),综合药物审查 (CMR) 报价和收款,以及目标药物审查 (TMR).
主要成果:
- 符合CMS标准的受益者年龄较大,更有可能是白人,女性,并且比扩展标准的受益者有更多的并发症.
- TMR接收量从95%增加到98.1%,CMR供应保持稳定 (>97%).
- 从17%增加到35.4%,主要由药剂师通过电话交付.
结论:
- 2013年至2016年期间,MTM计划的招生,TMR和CMR收件增加了.
- 然而,患者对MTM服务的总体采用率仍然很低,参与的驱动因素尚不清楚.
- 招生群体之间的人口差异需要进一步研究最佳的MTM计划提供.
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