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Medication Therapy Management Programs

Medication Therapy Management Programs

A large number of Medicare recipients also receive Part D coverage from Prescription Drug Plans (PDPs). Some of these people may need assistance with managing their programs and their medications. For this reason, all plans that offer Medicare prescription drug coverage (Medicare Part D) are required to have Medication Therapy Management (MTM) programs. MTM programs help reduce the incidence of medication errors during treatment.

MTM programs are relatively new. Formal guidelines and rules are still evolving, but the essential idea is this: You work with your doctor and your pharmacist to make sure you are using medications safely and effectively.

As part of an effort to improve patient outcomes, Medicare has encouraged providers to increase the number of beneficiaries who are deamed eligible for MTM programs. Stricter oversight of medication use by the Pharmacy and Therapeutic Committees (P&T) that manage standards on the use of drugs, therapies and drug related products is also being encouraged.

The basics of the MTM program are:

  • You make an appointment and meet one-on-one with a pharmacist.
  • During the meeting, all prescription medications, over-the-counter medications, herbal and dietary supplements that you take will be reviewed.
  • The pharmacist can answer your questions and help you understand more about your medications. He or she can also help you keep track of all the medications you currently take and provide you with a list you can take to your doctors.
  • A record of drug interactions or past problems with your medications can also be kept by the pharmacist.

Your Medicare prescription drug coverage plan determines whether you need an MTM program.

  • Typically, participants with chronic conditions are offered the program. For example, MTM programs can help people manage things like diabetes, asthma, high blood pressure, high cholesterol, heart disease, depression, arthritis and osteoporosis.
  • Working with a pharmacist in an MTM program can also be a good idea for participants who are beginning to experience problems with memory and making decisions.

Some Medicare prescription drug coverage plans contact members who seem to be most at risk for medication errors. They ask those members to use the plan's MTM program. If you think an MTM program would be helpful for you, contact your plan representative and ask.

Sources:

www.medicare.gov

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3411207/


Y0071_14_18421_U CMS Accepted 10/06/2013
39791WPMENMUB

Anthem Blue Cross is an HMO plan with a Medicare contract. Enrollment in Anthem Blue Cross depends on contract renewal. Anthem Blue Cross is the trade name of Blue Cross of California. Independent licensee of the Blue Cross Association.

Anthem Blue Cross Life and Health Insurance Company is an LPPO plan and PDP plan with a Medicare contract. Enrollment in Anthem Blue Cross Life and Health Insurance Company depends on contract renewal. Anthem Blue Cross Life and Health Insurance Company is an independent licensee of the Blue Cross Association.

Anthem Blue Cross Life and Health Insurance Company (Anthem) has contracted with the Centers for Medicare & Medicaid Services (CMS) to offer the Medicare Prescription Drug Plans (PDPs) noted above or herein Anthem is the state-licensed, risk-bearing entity offering these plans. Anthem has retained the services of its related companies and authorized agents/brokers/producers to provide administrative services and/or to make the PDPs available in this region.

Anthem Blue Cross Life and Health Insurance Company is an independent licensee of the Blue Cross Association. ®ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross name and symbol are registered marks of the Blue Cross Association.

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