Brand Newland, VP of Business Development, OutcomesMTM
The end of 2015 marked the close of the first decade of Medicare Part D. The launch of the
Part D benefit was a milestone for Medication Therapy Management (MTM) as it marked
the first time Medicare recognized MTM as a payable service. In the ensuing decade, MTM
has grown and evolved significantly. Government regulations and performance ratings
have stoked innovation, particularly in the last five years. More innovation will follow with
new approaches, better technology, wider adoption of MTM (by both pharmacists and
patients) and the Enhanced MTM Model test for PDP plans.
Over the last 17 years, OutcomesMTM®, now a Cardinal Health company, has catalyzed the evolution of MTM. From the first pioneering pharmacists to the engaged network of thousands of local pharmacists today, OutcomesMTM has provided support and ever-increasing opportunities to demonstrate value for healthcare payors. Pharmacies across the country have adopted MTM, delivering services for millions of patients that not only impact facts, figures and ratings—but also lives. From educating on a new prescription to resolving an adverse drug reaction that helps a husband return to daily walks with his wife, pharmacist-delivered MTM services improve quality of life as well as quality of care.
Why is MTM activity increasing?
- The foundation has been developing for many years. Local pharmacists have never been more
prepared to successfully and consistently deliver MTM services than they are today.
- Pharmacies, including large pharmacy chains, are investing resources in MTM at unprecedented levels. This includes investments in people, processes and technology to sustainably incorporate
MTM into daily practices.
- Demand is at an all-time high. Medicare Star Ratings related to Comprehensive Medication Reviews
and medication use are driving plan sponsors to seek new strategies for reaching members and
Local pharmacies have made great strides in the delivery of MTM over the last 10 years. It is a story about action leading to results—one that is worth telling again and again—to every healthcare stakeholder.