Medication Therapy Management
Services to identify, prevent, and solve medication-related problems to optimize therapeutic outcomes
Medication Therapy Management is a common solution for geriatric patients at high risk for medication-related problems. These can be due to polypharmacy associated with multiple underlying diseases and age-related physiologic changes, pharmacodynamic and pharmacokinetics
40% of the adults over 65 and 90% of adults over 75, take 5 or more medications
There’s an 82% risk of an adverse drug reaction occurring in patients who take 7 or more medications
Medication Therapy Management reduces medication-related problems and reduces healthcare-related costs through:
- Fewer and unnecessary Emergency Room visits
- Fewer hospitalizations
- Improved health status
- Decreased pharmacy spending due to polypharmacy
- Improved MTM process and reimbursement
Medication therapy management helps prevent these types of medication-related problems
Nearly half of the Medicare Parts C and D Star Ratings quality measures are linked to Medication Therapy Management use for these categories: outcome, patient experience improvement, and MTM process.
Medicare Part C Measures we Target to improve star ratings
- Breast Cancer Screening
- Colorectal Cancer Screening
- Annual Flu Vaccination
- Care for Older Adults – Medication Review
- Osteoporosis in Women with Fracture
- Diabetes Care (Eye Exam, Kidney Disease, Blood Sugar)
- Controlling Blood Pressure
- Rheumatoid Arthritis Management
- Reducing Risk for Falls
- Improving Bladder Control
- Med-Rec Post Discharge
- Plan All-Cause Readmissions
- Statin Therapy for Patients with Cardiovascular Disease
Medicare Part D Measures we Target to improve star ratings
- MTM Program Completion Rate for CMR
- Medication Adherence for Diabetes Medications
- Medication Adherence for Hypertension (RAAS antagonists)
- Medication Adherence for Cholesterol (statins)
- Statin Use in Patients with Diabetes (SUPD)
Customized medication therapy management platforms for CMS quality measures
Our MTM solutions include a nationwide team of clinical pharmacists who are available to your patients 24/7. With patented AI technology, these pharmacists have the qualifications to identify, predict, prevent, and resolve medication-related problems and disease care gaps. The results are improved financial and patient health outcomes.
Customizable MTM solutions:
verify eligibility, serve outpatients, and achieve better health outcomes
Aligns with your strategic goals and meets regulatory standards including CMS reporting requirements
Addresses Social Determinants of Health (SDOH) through predictive and real-time analytics and risk stratification algorithms
Specialized or custom programs with a focus on specific disease states or high-risk populations
Delivers valuable business intelligence and insights for population risk management
Nationwide Coverage of MTM services to patients in all 50 states through pharmacists who are available 24/7
Program and Compliance Support including CMS audits, internal audits, reporting, MTM program submissions etc
High-touch and high-quality Comprehensive Medication Reviews (CMRs)
Transitions of Care and follow-up after emergency department visit for people with multiple high-risk chronic conditions
Pharmacist-patient match based on disease states and language preference
Standardized patient and prescriber communications that include welcome letters, patient medication list and/or patient takeaway materials, and prescriber communications
AI-Driven MTM Technology
- Scalable platform that helps identify and resolve medication and disease-related problems
- Medication side effect profiling
- Predictive analytics
- Social Determinants of Health (SDOH)
- Evidence-based decision support
- Predictive analytics
- Patient friendly mobile platform
- Smart notifications
AI-Driven Comprehensive Disease And Medication Management Process
Payors benefit from using MTM services
- Reduce health Costs
- High CMR completion rates
- Improves Part C and Part D Star Ratings measures
- Improves HEDIS® care gaps and CAHPS
- Improves patient outcomes
- Early identification of potential drug interactions, adverse reactions, and side effects
Patients AND Providers benefits of MTM services
Patients appreciate the support of a structured Medication Therapy Management program. Engagement with PharmD Live is designed to improve health and reduce costs with quantifiable benefits including:
- Early identification of potential drug interactions, adverse reactions, and side effects
- Medication reconciliation
- Improved quality measure scores directly tied to CMS reimbursement rates