Medication Therapy Management

Services aimed at identifying, preventing, and resolving 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 issues often stem from polypharmacy linked to multiple underlying diseases and age-related physiological changes impacting pharmacodynamics and pharmacokinetics

Custom platform designed to help reduce $500 billion in medication-related problems in the U.S

MTM can help reduce the approximately 1.5 million preventable adverse drug events (ADEs) per year caused by medication errors

40% of adults over 65 and 90% of adults over 75 take 5 or more medications.

There is 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 healthcare-related costs through

  • Medication Therapy Management leads to fewer unnecessary Emergency Room visits
  • Medication Therapy Management results in fewer hospitalizations
  • Medication Therapy Management contributes to improved health status
  • Decreased pharmacy spending due to polypharmacy
  • Improved MTM process and reimbursement

Medication therapy management helps prevent these problems

Nearly half of the Medicare Parts C and D Star Ratings quality measures are linked to Medication Therapy Management use, focusing on outcome improvement, patient experience enhancement, and MTM process effectiveness.

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)

Improved MTM process and reimbursement

Customized Medication Therapy Management platforms tailored to meet CMS quality measures

Our MTM solutions feature a nationwide team of clinical pharmacists available to your patients. Utilizing patented AI technology, these pharmacists are equipped to identify, predict, prevent, and resolve medication-related problems and care gaps in diseases. The outcome is improved financial and patient health outcomes.

Customizable MTM solutions tailored to your specific needs

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, utilizing risk stratification algorithms

Specialized or custom programs tailored to 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

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 visits for individuals with multiple high-risk chronic conditions

Pharmacist-patient matching based on disease states and language preference

Standardized patient and prescriber communications, including welcome letters, patient medication lists and/or takeaway materials, and prescriber communications

AI-driven MTM (Medication Therapy Management) technology

  • Scalable platform designed to identify and resolve medication and disease-related problems
  • Medication side effect profiling
  • Predictive analytics
  • Social Determinants of Health (SDOH)
  • Evidence-based decision support
  • Patient friendly mobile platform
  • Smart notifications

Medication misuse is a significant issue.

Payors benefit from using MTM services through improved medication adherence

  • 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

MTM services benefit both patients and providers in several ways

Patients appreciate the support of a structured Medication Therapy Management (MTM) 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 correlate with CMS reimbursement rates

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