Abstract

David Chen, senior director of ASHP’s Section of Pharmacy Practice Managers, said CMS and Part D plans have made great strides in providing MTM programs for Medicare beneficiaries. “The program can continue to improve if CMS facilitates the connection of medical, prescription, and MTM services to overall patient outcomes by including local pharmacists on the MTM team,” Chen said. He also called for full disclosure about incentives that Part D prescription drug programs offer to MTM service providers and about penalties the providers face when they fail to meet the MTM elements specified in plan contracts. “The lack of transparency makes it extremely difficult for pharmacies to understand how plans are managing data and translating the plan’s responsibilities to CMS down onto individual pharmacies,” Chen said.

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