Medication Therapy Management (MTM) for a Medicaid Managed Care Population Within Patient-Centered Medical Homes

The Ohio State University

Status: Withdrawn

Conditions: Medication Therapy Management; MTM; Medication Management; Estimated Cost Avoidance

Treatments: Behavioral: medication therapy management

Study type: Observational

Funder types: Other

Identifiers

NCT05711771

#2014H0382

Details and patient eligibility

About

The primary objective of this project is to determine the estimated cost avoidance (ECA) resulting from medication therapy management (MTM) interventions in a patient-centered medical home (PCMH). The secondary objective of this study is to quantify the number and types of MTM interventions recommended by pharmacists and accepted by physicians within a PCMH.

Full description

CareSource™, the largest Medicaid managed care provider in Ohio, pays for pharmacist-provided MTM using the OutcomesMTM™ platform for claims submissions. In May of 2013, pharmacists at three PCMHs affiliated with a large academic medical center began providing MTM to patients with CareSourceTM through the OutcomesMTMTM platform. A retrospective chart review of the OutcomesMTM™ platform was performed for all patients who received MTM services between May 2013 and October 2014. The number and type of MTM interventions was tracked. For each intervention, the ECA level submitted to and accepted by the third party reviewer was collected. The ECA will be calculated using the cost associated to the CareSource™ managed care provider for each ECA level.

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Patient of a primary care doctor within The Ohio State University Division of General Internal Medicine
• CareSource™ Medicaid managed care as the insurance provider

Exclusion criteria

• n/a