ABM for ACO Beneficiaries

American Pharmacists Association Foundation

Status: Completed

Conditions: Medication Adherence

Treatments: Other: ABM

Study type: Interventional

Funder types: Other

Identifiers

NCT02137551

012

Details and patient eligibility

About

The primary objective of the study is to evaluate how engaging ACO beneficiaries in the appointment based model for one year impacts medication adherence and healthcare costs compared to usual care.

Full description

The American Pharmacists Association (APhA) Foundation has partnered with a federally qualified health center (FQHC), a supermarket community pharmacy, and an accountable care organization (ACO) to participate in this ABM for ACO Beneficiaries initiative. The FQHC, El Rio Community Health Center pharmacy, and supermarket pharmacy, Fry's Pharmacy, will serve as implementing pharmacy study sites and will implement the ABM for beneficiaries of the ACO who utilize their pharmacies for medication refill services. The ABM involves synchronizing all medications to come due on the same day of the month and the individual receives a pre-appointment phone call from the pharmacy staff to review medications and identify any changes. The ACO will provide medical and claims data on enrolled subjects as well as a control group for the intervention population. The APhA Foundation will aggregate intervention, prescription fill, and economic data from the 3 partners in an effort to evaluate the impact of the ABM on healthcare costs and medication adherence. The APhA Foundation has an a priori intent to publish the project results.

Enrollment: 595 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria: Individuals eligible to be enrolled in the study include those who:

• Are beneficiaries of the partnering ACO;
• Are receiving medical care at El Rio and have been since before May 1, 2013;
• Are taking 2 or more medications that are refilled on 30, 60, or 90 day schedules;
• Speak English or Spanish;
• Are at least 18 years of age; and
• Are not institutionalized (i.e., residents of nursing homes, psychiatric institutions, or prisons).

Exclusion Criteria:

• Use of a legal authorized representative

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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595 participants in 3 patient groups

ABM Intervention in FQHC

Experimental group

Description:

Pharmacy technicians within El Rio will implement the ABM

Treatment:

Other: ABM

ABM Intervention in a Supermarket Pharmacy

Experimental group

Description:

Pharmacists within Fry's will implement the ABM

Treatment:

Other: ABM

Usual care

No Intervention group

Description:

Patients will refill prescriptions at their usual pharmacy in the customary way.