Special Feature
Reimbursement model for pharmacist-directed medication therapy management
Kimberly Braxton Lloyd, PharmD; R. Lee Evans, PharmD, BCPP, FCCP, FASHP
J Am Pharm Assoc (2003) 2012;52:161-169. doi:10.1331/JAPhA.2012.11228


Objectives  To describe the development of a practice model with sustainable reimbursement for medication therapy management (MTM) services provided by pharmacists for beneficiaries of self-insured health care plans.

Practice description  The Auburn University Pharmaceutical Care Center (AUPCC) is a free-standing clinic located within the school of pharmacy that provides preventive care and MTM services for a population of 11,600 employees and dependents that subscribe to the university's self-insured health plan. The goal of patient care is to increase use of cost-effective pharmacotherapy and improve the outcomes of medication use among the population.

Main outcome measures  Development and implementation of a practice model and reimbursement method that can be implemented in the employer setting for large self-insured employers and the community pharmacy practice setting.

Results  Since opening, AUPCC has developed into a model pharmaceutical care service that can be implemented in the workplace for other self-insured employers. AUPCC is also a model that can easily translate to the community pharmacy setting. In 2010, the model was adapted by Alabama for state employees.

Conclusion  Pharmacists can negotiate directly with decision makers within large companies that are self-insured to provide MTM services for the employee population. This is an area of sustainable growth within our profession.

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Cranor CW, Bunting BA, Christensen DB.  The Asheville Project: long-term clinical and economic outcomes of a community pharmacy diabetes care program.  J Am Pharm Assoc. 2003;43:173–84.[CrossRef]
Bunting BA, Smith BH, Sutherland SE.  The Asheville Project: clinical and economic outcomes of a community-based long-term medication therapy management program for hypertension and dyslipidemia.  J Am Pharm Assoc. 2008;48:23–31.[CrossRef]
Goode JV, Swiger K, Bluml BM.  Regional osteoporosis screening, referral, and monitoring program in community pharmacies: findings from Project ImPACT: Osteoporosis.  J Am Pharm Assoc. 2004;44:152–60.[CrossRef]
Bunting BA, Cranor CA.  The Asheville Project: long-term clinical, humanistic, and economic outcomes of a community-based medication therapy management program for asthma.  J Am Pharm Assoc. 2006;46:133–47.[CrossRef]
Isetts BJ, Schondelmeyer SW, Artz MB, et al. Clinical and economic outcomes of medication therapy management services: the Minnesota experience.  J Am Pharm Assoc. 2008;48:203–11.[CrossRef]
Trapskin K, Johnson C, Cory P, et al. Forging a novel provider and payer partnership in Wisconsin to compensate pharmacists for quality-driven pharmacy and medication therapy management services.  J Am Pharm Assoc. 2009;49:642–51.[CrossRef]
DaVanzo J, Dobson A, Koenig L, Book R.  Medication therapy management services: a critical review. Accessed at www.lewin.com/content/publications/3179.pdf, November 11,  2011.
Lloyd KB, Thrower MR, Walters NB, et al. Implementation of a weight management pharmaceutical care service.  Ann Pharmacother. 2007;41:185–92.[PubMed][CrossRef]
Tilsley A.Auburn U. saves $1-million in health-care costs with in-house pharmacy. Accessed at http://chronicle.com/article/article-content/65850, January 15,  2012.
Lloyd KB, Krueger KP, Moore RT, et al. Impact of a workplace health and wellness pharmaceutical care service on the weight and obesity classification of employees.  J Am Pharm Assoc. 2002;42:118–20.[CrossRef]
Scolaro KL, Lloyd KB, Helms KL.  Devices for home evaluation of women's health concerns.  Am J Health Syst Pharm. 2008;65:299–314.[PubMed][CrossRef]
Scolaro KL, Stamm PL, Lloyd KB.  Devices for ambulatory and home monitoring of blood pressure, lipids, coagulation, and weight management, part 2.  Am J Health Syst Pharm. 2005;62:1894–903.[PubMed][CrossRef]
Scolaro KL, Stamm PL, Lloyd KB.  Devices for ambulatory and home monitoring of blood pressure, lipids, coagulation, and weight management, part 1.  Am J Health Syst Pharm. 2005;62:1802–12.[PubMed][CrossRef]
Bell EC, Ravis WR, Lloyd KB, Stokes TJ.  Effects of St. John's wort supplementation on ibuprofen pharmacokinetics.  Ann Pharmacother. 2007;41:229–34.[PubMed][CrossRef]
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