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

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  • Additional Information
    • Subject Terms:
    • NAICS/Industry Codes:
      325410 Pharmaceutical and medicine manufacturing
      424210 Drugs and Druggists' Sundries Merchant Wholesalers
      414510 Pharmaceuticals and pharmacy supplies merchant wholesalers
      524292 Third Party Administration of Insurance and Pension Funds
      525190 Other Insurance Funds
      524298 All Other Insurance Related Activities
      923130 Administration of Human Resource Programs (except Education, Public Health, and Veterans' Affairs Programs)
      541910 Marketing Research and Public Opinion Polling
    • Abstract:
      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. [ABSTRACT FROM AUTHOR]
    • Abstract:
      Copyright of Health Affairs is the property of Project HOPE/HEALTH AFFAIRS and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
    • Author Affiliations:
      1Professor, Department of Pharmaceutical Health Services Research, University of Maryland Baltimore
      2Graduate research assistant, Department of Pharmaceutical Health Services Research, University of Maryland Baltimore
      3Senior director, Pharmaceutical Research and Manufacturers of America (PhRMA), Washington, D.C.
      4Senior economist, National Association of Chain Drug Stores, Alexandria, Virginia
    • ISSN:
      0278-2715
    • Accession Number:
      10.1377/hlthaff.2012.0848
    • Accession Number:
      89022224
  • Citations
    • ABNT:
      STUART, B. et al. Increasing Medicare Part D Enrollment In Medication Therapy Management Could Improve Health And Lower Costs. Health Affairs, [s. l.], v. 32, n. 7, p. 1212–1220, 2013. DOI 10.1377/hlthaff.2012.0848. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=89022224&custid=s8280428. Acesso em: 6 dez. 2019.
    • AMA:
      Stuart B, Loh FE, Roberto P, Miller LM. Increasing Medicare Part D Enrollment In Medication Therapy Management Could Improve Health And Lower Costs. Health Affairs. 2013;32(7):1212-1220. doi:10.1377/hlthaff.2012.0848.
    • APA:
      Stuart, B., Loh, F. E., Roberto, P., & Miller, L. M. (2013). Increasing Medicare Part D Enrollment In Medication Therapy Management Could Improve Health And Lower Costs. Health Affairs, 32(7), 1212–1220. https://doi.org/10.1377/hlthaff.2012.0848
    • Chicago/Turabian: Author-Date:
      Stuart, Bruce, F. Ellen Loh, Pamela Roberto, and Laura M. Miller. 2013. “Increasing Medicare Part D Enrollment In Medication Therapy Management Could Improve Health And Lower Costs.” Health Affairs 32 (7): 1212–20. doi:10.1377/hlthaff.2012.0848.
    • Harvard:
      Stuart, B. et al. (2013) ‘Increasing Medicare Part D Enrollment In Medication Therapy Management Could Improve Health And Lower Costs’, Health Affairs, 32(7), pp. 1212–1220. doi: 10.1377/hlthaff.2012.0848.
    • Harvard: Australian:
      Stuart, B, Loh, FE, Roberto, P & Miller, LM 2013, ‘Increasing Medicare Part D Enrollment In Medication Therapy Management Could Improve Health And Lower Costs’, Health Affairs, vol. 32, no. 7, pp. 1212–1220, viewed 6 December 2019, .
    • MLA:
      Stuart, Bruce, et al. “Increasing Medicare Part D Enrollment In Medication Therapy Management Could Improve Health And Lower Costs.” Health Affairs, vol. 32, no. 7, July 2013, pp. 1212–1220. EBSCOhost, doi:10.1377/hlthaff.2012.0848.
    • Chicago/Turabian: Humanities:
      Stuart, Bruce, F. Ellen Loh, Pamela Roberto, and Laura M. Miller. “Increasing Medicare Part D Enrollment In Medication Therapy Management Could Improve Health And Lower Costs.” Health Affairs 32, no. 7 (July 2013): 1212–20. doi:10.1377/hlthaff.2012.0848.
    • Vancouver/ICMJE:
      Stuart B, Loh FE, Roberto P, Miller LM. Increasing Medicare Part D Enrollment In Medication Therapy Management Could Improve Health And Lower Costs. Health Affairs [Internet]. 2013 Jul [cited 2019 Dec 6];32(7):1212–20. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=89022224&custid=s8280428