Factors affecting Medicare Part D beneficiaries’ decision to receive comprehensive medication reviews
William R. Doucette; Yiran Zhang; Elizabeth A. Chrischilles; Jane F. Pendergast; Brand A. Newland; Karen B. Farris; Jessica Frank
J Am Pharm Assoc (2003) 2013;53:482-487. doi:10.1331/JAPhA.2013.12233


Objectives  To identify factors influencing Medicare Part D beneficiaries’ decision to receive pharmacist-provided comprehensive medication reviews (CMRs) and to evaluate their experiences with pharmacist-provided CMRs.

Design  Cross-sectional descriptive study.

Setting  Beneficiaries living in Maryland or Minnesota, from November 2011 to January 2012.

Participants  Medicare beneficiaries of two Medicare Part D plans who had completed a previous telephone interview for a larger project of medication therapy management quality improvement.

Intervention  Self-reported mail survey.

Main outcome measures  Responses to survey items assessing beneficiaries’ perceived importance of proposed factors affecting their decision to receive CMRs and items evaluating patients’ experiences with pharmacist-provided CMRs if they had one in the previous year.

Results  The valid response rate was 33.4% (238 of 713). Among the proposed factors, “knowing the out-of-pocket cost” (4.12 ± 1.28 [mean ± SD]) and “conducting in the usual pharmacy” (4.01 ± 1.37) were most important in making a decision to get a CMR. Factors rated significantly more important by those who had versus had not received a CMR included “usual pharmacy,” “receiving medication list,” “physician's support,” and “pharmacists discuss changes with physicians.” About one-third (30.6%) of respondents reported having pharmacist-provided CMRs within the previous year. Most respondents believed that having CMRs was important for their health (90.6%) and were satisfied with the results of CMRs (94.7%).

Conclusion  Patients preferred their usual pharmacy or convenient places to have a CMR. Also, a collaborative pharmacist–physician working relationship would be helpful in providing CMRs. Patients who received CMRs expressed a positive attitude toward and satisfaction with pharmacist-provided services.

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Government Printing Office. Medicare Prescription Drug, Improvement, and Modernization Act of 2003. www.gpo.gov/fdsys/pkg/PLAW‐108publ173/pdf/PLAW‐108publ173.pdf. Accessed  April 7, 2012.
American Pharmacists Association, National Association of Chain Drug Stores Foundation.  Medication therapy management in pharmacy practice: core elements of an MTM service model (version 2.0).  J Am Pharm Assoc.  2008; 48( 3): 341– 53. [CrossRef]
Centers for Medicare & Medicaid Services. 2010 call letter. www.cms.gov/Medicare/Prescription‐Drug‐Coverage/PrescriptionDrugCovContra/downloads/2010CallLetter.pdf. Accessed  May 11, 2012.
Centers for Medicare & Medicaid Services. 2011 Medicare Part D medication therapy management (MTM) programs. www.cms.gov/Medicare/Prescription‐Drug‐Coverage/PrescriptionDrugCovContra/downloads/MTMFactSheet2011063011Final.pdf. Accessed  May 11, 2012.
Barnett MJ, Frank J, Wehring H, et al.  Analysis of pharmacist-provided medication therapy management (MTM) services in community pharmacies over 7 years.  J Manag Care Pharm.  2009; 15( 1): 18– 31. [PubMed]
Academy of Managed Care Pharmacy.  Sound medication therapy management programs, version 2.0 with validation study.  J Manag Care Pharm.  2008; 14( 1 suppl B): S2– 44.
Centers for Medicare & Medicaid Services. 2013 call letter. www.cms.gov/Medicare/Health‐Plans/HealthPlansGenInfo/Downloads/2013‐Call‐Letter.pdf. Accessed  October 3, 2012.
Schommer JC, Planas LG, Johnson KA, Doucette WR.  Pharmacist-provided medication therapy management (part 1): provider perspectives in 2007.  J Am Pharm Assoc.  2008; 48( 3): 354– 63. [CrossRef]
Blake KB, Madhavan SS.  Perceived barriers to provision of medication therapy management services (MTMS) and the likelihood of a pharmacist to work in a pharmacy that provides MTMS.  Ann Pharmacother.  2010; 44( 3): 424– 31. [CrossRef][PubMed]
Lounsbery JL, Green CG, Bennett MS, Pedersen CA.  Evaluation of pharmacists’ barriers to the implementation of medication therapy management services.  J Am Pharm Assoc.  2009; 49( 1): 51– 8. [CrossRef]
MacIntosh C, Weiser C, Wassimi A, et al.  Attitudes toward and factors affecting implementation of medication therapy management services by community pharmacists.  J Am Pharm Assoc.  2009; 49( 1): 26– 30. [CrossRef]
McGrath SH, Snyder ME, Dueñas GG, et al.  Physician perceptions of pharmacist-provided medication therapy management: qualitative analysis.  J Am Pharm Assoc.  2010; 50( 1): 67– 71. [CrossRef]
Witry MJ, Chang EH, Mormann MM, et al.  Older adult perceptions of a self-reported medication risk questionnaire: a focus group study.  INNOVATIONS in pharmacy.  2011; 2( 3): 1– 11. [PubMed]
Law AV, Okamoto MP, Brock K.  Perceptions of Medicare Part D enrollees about pharmacists and their role as providers of medication therapy management.  J Am Pharm Assoc.  2008; 48( 5): 648– 53. [CrossRef]
Truong HA, Layson-Wolf C, de Bittner MR, et al.  Perceptions of patients on Medicare Part D medication therapy management services.  J Am Pharm Assoc.  2009; 49( 3): 392– 8. [CrossRef]
Doucette WR, Witry MJ, Alkhateeb F, et al.  Attitudes of Medicare beneficiaries toward pharmacist-provided medication therapy management activities as part of the Medicare Part D benefit.  J Am Pharm Assoc.  2007; 47( 6): 758– 62. [CrossRef]
Garcia GM, Snyder ME, McGrath SH, et al.  Generating demand for pharmacist-provided medication therapy management: identifying patient-preferred marketing strategies.  J Am Pharm Assoc.  2009; 49( 5): 611– 6. [CrossRef]
Kuhn CH, Casper KA, Green TR.  Assessing Ohio grocery store patrons’ perceptions of a comprehensive medication review.  J Am Pharm Assoc.  2009; 49( 6): 787– 91. [CrossRef]
Carter SR, Moles RJ, White L, Chen TF.  Consumers’ willingness to use a medication management service: the effect of medication-related worry and the social influence of the general practitioner [published online ahead of print, September 18, 2012.].  Res Soc Admin Pharm.
Smet P De, Denneboom W, Kramers C, Grol R.  A composite screening tool for medication reviews of outpatients: general issues with specific examples.  Drugs Aging.  2007; 24( 9): 733– 60. [CrossRef][PubMed]
Doucette WR, Chang EH, Pendergast JF, et al.  Development and initial assessment of the Medication User Self-Evaluation (MUSE) tool.  Clin Ther.  2013; 35( 3): 344– 50. [CrossRef][PubMed]
McDonough RP, Doucette WR.  Developing collaborative working relationships between pharmacists and physicians.  J Am Pharm Assoc.  2001; 41( 5): 682– 92.
Zillich AJ, McDonough RP, Carter BL, Doucette WR.  Influential characteristics of physician/pharmacist collaborative relationship.  Ann Pharmacother.  2004; 38( 5): 764– 70. [CrossRef][PubMed]
Doucette WR, Nevins J, McDonough RP.  Factors affecting collaborative care between pharmacists and physicians.  Res Social Adm Pharm.  2005; 1( 4): 565– 78. [CrossRef][PubMed]
McGivney MS, Meyer SM, Duncan-Hewitt W, et al.  Medication therapy management: Its relationship to patient counseling, disease management, and pharmaceutical care.  J Am Pharm Assoc.  2007; 47( 5): 620– 8. [CrossRef]
Kucukarslan SN, Pathak DS, Summers K.  Response-Oriented Patient Evaluation Survey (ROPES): an administrator's tool for identifying opportunities for service quality improvement.  J Manag Care Pharm.  1998; 4( 3): 311– 20.
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