ArticleResearch in social & administrative pharmacy : RSAP
Potential health implications of racial and ethnic disparities in meeting MTM eligibility criteria.
Article in Research in social & administrative pharmacy : RSAP. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Understanding the Socioeconomic and Geographical Characteristics of Beneficiaries Receiving a Comprehensive Medication Review.Journal of managed care & specialty pharmacy · 2020Article
- Disparity Implications of Proposed 2015 Medicare Eligibility Criteria for Medication Therapy Management Services.Journal of pharmaceutical health services research : an official journal of the Royal Pharmaceutical Society of Great Britain · 2016Article
- Potential Health Implications of Medication Therapy Management Eligibility Criteria in the Patient Protection and Affordable Care Act Across Racial and Ethnic Groups.Journal of managed care & specialty pharmacy · 2015Article
- Predictors of medication-related problems among medicaid patients participating in a pharmacist-provided telephonic medication therapy management program.Pharmacotherapy · 2014Article
- Effects of medicare part d on disparity implications of medication therapy management eligibility criteria.American health & drug benefits · 2014Article
- Potential effects of racial and ethnic disparities in meeting Medicare medication therapy management eligibility criteria.Journal of pharmaceutical health services research : an official journal of the Royal Pharmaceutical Society of Great Britain · 2014Article
- Historical trend of racial and ethnic disparities in meeting Medicare medication therapy management eligibility in non-Medicare population.Research in social & administrative pharmacy : RSAPArticle
- Higher Predictive Value Positive for MMA Than ACA MTM Eligibility Criteria Among Racial and Ethnic Minorities: An Observational Study.Inquiry : a journal of medical care organization, provision and financingObservational
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Authors and funding
7 authors.
Funding
Abstract
backgroundPrevious studies have found that racial and ethnic minorities would be less likely to meet the Medicare eligibility criteria for medication therapy management (MTM) services than their non-Hispanic White counterparts.
objectivesTo examine whether racial and ethnic disparities in health status, health services utilization and costs, and medication utilization patterns among MTM-ineligible individuals differed from MTM-eligible individuals.
methodsThis study analyzed Medicare beneficiaries in 2004-2005 Medicare Current Beneficiary Survey. Various multivariate regressions were employed depending on the nature of dependent variables. Interaction terms between the dummy variables for Blacks (and Hispanics) and MTM eligibility were included to test whether disparity patterns varied between MTM-ineligible and MTM-eligible individuals. Main and sensitivity analyses were conducted for MTM eligibility thresholds for 2006 and 2010.
resultsBased on the main analysis for 2006 MTM eligibility criteria, the proportions for self-reported good health status for Whites and Blacks were 82.82% vs. 70.75%, respectively (difference = 12.07%; P < 0.001), among MTM-ineligible population; and 56.98% vs. 52.14%, respectively (difference = 4.84%; P = 0.31), among MTM-eligible population. The difference between these differences was 7.23% (P < 0.001). In the adjusted logistic regression, the interaction effect for Blacks and MTM eligibility had an OR of 1.57 (95% Confidence Interval, or CI = 0.98-2.52) on multiplicative term and difference in odds of 2.38 (95% CI = 1.54-3.22) on additive term. Analyses for disparities between Whites and Hispanics found similar disparity patterns. All analyses for 2006 and 2010 eligibility criteria generally reported similar patterns. Analyses of other measures did not find greater racial or ethnic disparities among the MTM-ineligible than MTM-eligible individuals.
conclusionsDisparities in MTM eligibility may aggravate existing racial and ethnic disparities in health outcomes. However, disparities in MTM eligibility may not aggravate existing disparities in health services utilization and costs and medication utilization patterns. Future studies should examine the effects of Medicare Part D on these disparities.
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