Medication Therapy Management Services What Does It All

Medication Therapy Management Services: What Does It All Mean? Brought to you by the Ohio Pharmacists Association

Objectives • Describe the basics of Medication Therapy Management Services (MTMS) • Provide an overview of patient benefits • Explain the role of the pharmacist in MTMS • Understand the various payment and reimbursement methods of MTMS

What is MTMS? • Medication Therapy Management Services is a thorough review of a patient’s medication list by a pharmacist in order to provide the highest quality of patient care

Why should the pharmacist review my medication list? • Verify appropriate medications for diseases • Minimize the use of multiple medications working in the same way • Check for interactions between medications • Monitor for adverse events • Tailor medication therapy to reach disease state goals

What activities are included in a MTMS appointment? • Gather patient information beforehand • Basic patient information, list of disease states and medications, allergies, lab values, and medical history • Review medications individually with patient and discuss questions and concerns • Disease state monitoring • Blood pressure, cholesterol, blood sugar, etc. • Documentation and follow-up with patient and physician regarding concerns and recommendations

How does the patient benefit? • Improved knowledge of • • medications Comprehensive medication review including prescription and non-prescription drugs Personalized medication record Medication action plan Enhance communication between patients and providers

How does the patient benefit? (continued) • Improved health outcomes: • Asheville Project • Patients at blood pressure goal: 40. 2% to 67. 4% • Patients at cholesterol goal: 49. 9% to 74. 6% • Cost reduction: • Asheville Project • Medical costs: decreased by 46. 5% • Cardiovascular event: decreased 53% • Emergency Department visits: decreased 50%

What patient population would benefit most from MTMS? • All patients that take prescription medications can benefit! • Target populations may include: • Patients taking four or more medications for a chronic disease • Patients with one or more chronic diseases • Patients with multiple physicians • Patients with abnormal laboratory values • Noncompliant patients

Role of the Pharmacist in MTMS • Gather information from patients and do your • • homework! Review medications with patient and answer questions Monitor disease state for necessary changes in medication therapy Keep open lines of communication with other healthcare providers Coach your patients to better health!

How do I pay for these services? • Medicare Part D: If you meet criteria, services are covered • Pay cash (pharmacists may charge various prices) • Insurance coverage on the horizon • Whatever the method, you will save money in the long run!