Increasing Medicare Part D Enrollment In Medication Therapy Management Could Improve Health And Lower Costs

被引:29
作者
Stuart, Bruce [1 ]
Loh, F. Ellen [1 ]
Roberto, Pamela [2 ]
Miller, Laura M. [3 ]
机构
[1] Univ Maryland Baltimore, Dept Pharmaceut Hlth Serv Res, Baltimore, MD 21228 USA
[2] Pharmaceut Res & Mfg Amer PhRMA, Washington, DC USA
[3] Natl Assoc Chain Drug Stores, Alexandria, VA USA
关键词
DIABETES-MELLITUS; CARE COSTS; ADHERENCE; IMPACT; DRUG; HOSPITALIZATION; BENEFICIARIES; OUTCOMES; ADULTS;
D O I
10.1377/hlthaff.2012.0848
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Targeting efforts to improve medication adherence, especially among people with high health needs, can improve health and lower health care spending. To this end, Medicare requires that insurance plans that provide prescription drug (Part D) coverage offer specialized medication therapy management services to optimize medication use for enrollees with high drug costs, multiple chronic diseases, and multiple covered drugs. We analyzed a large random sample of Part D enrollees with diabetes, heart failure, and chronic obstructive pulmonary disease, to see whether poor adherence to recommended drugs was associated with higher Medicare costs. We found that beneficiaries with poor adherence had higher costs, ranging from $49 to $840 per month for patients with diabetes, for example. However, such beneficiaries were not uniformly more likely than others to be eligible for medication therapy management services. Aligning medication therapy management eligibility with a metric such as potentially preventable future costs holds promise for both improving the quality of care and reducing spending.
引用
收藏
页码:1212 / 1220
页数:9
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