DUBLIN, Ohio, Nov. 3, 2014 /PRNewswire/ -- Healthcare leaders are being pushed hard across the board to lower costs while raising quality. Medication Therapy Management (MTM) has been hailed by many, including the federal government, as one way to accomplish this important goal, especially in Medicare Part D. In fact, the Center for Medicare & Medicaid Services (CMS) calls MTM a "cornerstone" of Part D's future and a practice that will "serve as a model for achieving quality."
So, then, why do only 1% of eligible Medicare Part D beneficiaries get MTM services today? And what must health insurance plans do to reap the MTM benefits in CMS' Five-Star Quality Ratings System and other ways?
In a new blog post on Cardinal Health's online thought leadership site, Essential Insights, Brad Tice, RPh, PharmD, FAPhA, shares his perspective on why more patients aren't receiving MTM services, and how health plans can maximize the benefits of MTM services in both the short and long term.
"Today, only a small share of Medicare Part D beneficiaries receive MTM services because health plans identify only 10% of members as eligible and, of these, only 10% get a Comprehensive Medication Review (CMR)," says Tice. "That means only 1% of Part D beneficiaries – 10% of 10%– get this 'cornerstone' benefit of Part D's future. This large disconnect between health plans and CMS cannot last."
According to Tice, here are five steps health plans can take to ensure more eligible beneficiaries receive this important Medicare Part D benefit:
To learn more about Tice's insight why health plans need to explore new ways to ensure MTM services are being delivered to the patients who can most benefit from them, read his full blog post at Essential Insights.
About Cardinal Health
Headquartered in Dublin, Ohio, Cardinal Health, Inc. (NYSE: CAH) is a $91 billion healthcare services company that improves the cost-effectiveness of health care. As the business behind health care, Cardinal Health helps pharmacies, hospitals, ambulatory surgery centers and physician offices focus on patient care while reducing costs, enhancing efficiency and improving quality. Cardinal Health is an essential link in the health care supply chain, providing pharmaceuticals and medical products to more than 100,000 locations each day. The company is also a leading manufacturer of medical and surgical products, including gloves, surgical apparel and fluid management products. In addition, the company supports the growing diagnostic industry by supplying medical products to clinical laboratories and operating the nation's largest network of radiopharmacies that dispense products to aid in the early diagnosis and treatment of disease. Ranked #22 on the Fortune 500, Cardinal Health employs more than 34,000 people worldwide. More information about the company may be found at cardinalhealth.com and @CardinalHealth on Twitter.
SOURCE Cardinal Health