TY - CHAP M1 - Book, Section TI - Medicare Part D’s Medication Therapy Management and Other Related Services A1 - Miguel, Alexander A1 - Nacin, Cynthia R. A2 - Whalen, Karen A2 - Hardin, Heather C. PY - 2018 T2 - Medication Therapy Management: A Comprehensive Approach, 2e AB - KEY POINTSParticipation in Part D medication therapy management (MTM) programs is lower than predicted, and this has frustrated Part D plan sponsors and the federal government, especially considering MTM’s success in some Medicaid and private-sector programs.The Centers for Medicare and Medicaid Services (CMS) defines MTM as a patient-centric and comprehensive approach to improve medication use, reduce the risk of adverse events, and improve medication adherence.The MTM scope of services within Part D is evolving. This requires constant surveillance of the literature and CMS communications.Under Part D, free MTM services are generally reserved for enrollees who meet criteria related to their annual Part D drug costs, number of prescription drugs, and prevalence of certain chronic diseases.The Centers for Medicare and Medicaid Innovation (CMMI) have developed the Enhanced MTM Model to allow sponsors regulatory flexibility and financial resources to design MTM programs that best fit their beneficiaries’ needs. The goal of this innovative MTM model is to align the interest of Part D sponsors and CMS.MTM is showing promise in other non-Medicare drug benefit programs.The Patient Protection and Affordable Care Act (PL 111-148) authorized grants for “medication management services” in all practice settings (Section 3503), noting that such services will help manage chronic disease, reduce medical errors, and improve patient adherence to therapies while reducing ­acute-care costs and hospital readmissions. However, funds were never appropriated for this section.Part D’s inherent structure makes it particularly challenging to create and sustain robust MTM programs. However, CMS research (2013) identified effective MTM practices of highly effective drug plans. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - accesspharmacy.mhmedical.com/content.aspx?aid=1150195411 ER -