ArticleJournal of the American College of Clinical Pharmacy : JACCP2019
Medication Therapy Management Delivery by Community Pharmacists: Insights from a National Sample of Medicare Part D Beneficiaries.
Article in Journal of the American College of Clinical Pharmacy : JACCP, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Impact of medication therapy management programs on potentially inappropriate medication use in older adults: A systematic review.Journal of managed care & specialty pharmacy · 2024Pooled it
- Enhancing patient care: pharmacotherapeutic monitoring in community pharmacies - a literature review.Annals of medicine and surgery (2012) · 2025Review
- Receipt of Medicare Part D comprehensive medication reviews in older adults with dementia.Journal of managed care & specialty pharmacy · 2025Article
- Bridging gaps in medication therapy management at community health centers: A mixed-methods study on patient perceptions and pharmacists' preparedness.Exploratory research in clinical and social pharmacy · 2025Article
- Racial and ethnic disparities in Medicare Part D medication therapy management services utilization.Exploratory research in clinical and social pharmacy · 2023Article
- Preparing for the spread of patient-reported outcome (PRO) data collection from primary care to community pharmacy: a mixed-methods study.Implementation science communications · 2022Article
- A user-centered evaluation of medication therapy management alerts for community pharmacists: Recommendations to improve usability and usefulness.Research in social & administrative pharmacy : RSAP · 2021Observational
- Positive deviants for medication therapy management: A mixed-methods comparative case study of community pharmacy practices.Research in social & administrative pharmacy : RSAP · 2021Article
- Defragmenting Heart Failure Care: Medical Records Integration.Heart failure clinics · 2020Review
- Medication Therapy Management: Current Challenges.Integrated pharmacy research & practice · 2020Review
- Primary healthcare policy and vision for community pharmacy and pharmacists in the United States.Pharmacy practiceArticle
- Community pharmacists' and residents' decision making and unmet information needs when completing comprehensive medication reviews.Journal of the American Pharmacists Association : JAPhAArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
introductionThe Medicare Part D medication therapy management (MTM) program positions pharmacists to optimize beneficiaries' medications and improve care. Little is known regarding Part D MTM delivery by community pharmacists and other pharmacist provider types.
objectivesTo (1) characterize Medicare Part D MTM delivery by community pharmacists, (2) compare MTM delivery by community pharmacists to other pharmacists, and (3) generate hypotheses for future research.
methodsA descriptive cross-sectional study using merged data from a 20% random sample of Medicare beneficiary enrollment data with a 100% sample of recently available 2014 Part D MTM files was conducted. Andersen's Behavioral Model was applied to describe MTM delivery across beneficiary characteristics. Descriptive and bivariate statistics were used to compare delivery of MTM between community and other pharmacist providers.
resultsAmong beneficiaries sampled, community pharmacists provided comprehensive medication reviews (CMRs) to 22% (n=26,337) of beneficiaries receiving at least one CMR. Almost half (49.4%) were provided face-to-face. Across pharmacist cohorts, median days to CMR offer of post-MTM program enrollment were within the 60-day policy requirement. The community pharmacist cohort had fewer days from CMR offer to receipt (median 47 days). Community pharmacists provided more medication therapy problem (MTP) recommendations (mean [SD] of 1.8 [3.5]; p<0.001), but resolved less MTPs (0.2 [0.7]; p<0.001), and most commonly served beneficiaries that were in the south but less in the west/northeast. Additionally, community pharmacists served a smaller proportion of black beneficiaries, yet a larger proportion of Hispanic beneficiaries (p<0.001).
conclusionCommunity pharmacists provided approximately one in five CMRs for MTM eligible beneficiaries in 2014, with CMRs occurring more quickly, resulting in more MTP recommendations, but resolving less MTPs than those provided by non-community pharmacists. Future research should explore geographic/racial-ethnic disparities in beneficiaries served and strategies to increase negligible MTP resolution by community pharmacists.
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