MTM provisions in HCR

[willrocks]

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Hello,

I have heard repeatedly that there are substantial MTM provisions included in both the House and the Senate drafts of the Health care reform bill. However, I cannot find much specific information as to what is included in the bill regarding MTM. Can anybody post links to such information?

Best,
William

 

[bacillus1]

Basically requirements for MTM in transitions of care, expansion of integrated care models (drs, pharmacists, other healthcare professionals collaborating together on LTC patients, a "medical home"), as well as provisions for grants to study the best MTM models.

 

[MountainPharmD]

The key is none of the previous MTM legislation nor the current versions specify MTM has to be done by a Pharmacist. We think of MTM as our domain but it can be done by any healthcare provider. Nurses are much cheaper than Pharmacists.

 

[willrocks]

I see. Can any licensed pharmacist offer for hire MTM services to patients, or is there a separate training/certification process required? I am aware that a pharmacist who in not in a partnership with a physician could not make dosage adjustments or medication changes, but to provide a general medication review and medication recommendations, can any pharmacist provide such services?

 

[bacillus1]

I see. Can any licensed pharmacist offer for hire MTM services to patients, or is there a separate training/certification process required? I am aware that a pharmacist who in not in a partnership with a physician could not make dosage adjustments or medication changes, but to provide a general medication review and medication recommendations, can any pharmacist provide such services?

I don't see why they can't, but they often don't get reimbursed for this. What is the motivation for a person to provide a service with no pay?

 

[xoo]

I don't see why they can't, but they often don't get reimbursed for this. What is the motivation for a person to provide a service with no pay?

i thought MTM services have fees and medicare covers them. am i wrong?

 

[bacillus1]

i thought MTM services have fees and medicare covers them. am i wrong?

Yeah, but nurses are cheaper. And what about the people who aren't on medicare? Still, MTM services are growing, though very slowly.