Medication Therapy Management (MTM) for a Medicaid Managed Care Population Within Patient-Centered Medical Homes

Withdrawn

• Conditions: Medication Therapy Management; MTM; Estimated Cost Avoidance; Medication Management

• Registration Number: NCT05711771
• Lead Sponsor: Ohio State University

Brief Summary

The primary objective of this project is to determine the estimated cost avoidance (ECA) resulting from medication therapy management (MTM) interventions in a patient-centered medical home (PCMH). The secondary objective of this study is to quantify the number and types of MTM interventions recommended by pharmacists and accepted by physicians within a PCMH.

Detailed Description

CareSource™, the largest Medicaid managed care provider in Ohio, pays for pharmacist-provided MTM using the OutcomesMTM™ platform for claims submissions. In May of 2013, pharmacists at three PCMHs affiliated with a large academic medical center began providing MTM to patients with CareSourceTM through the OutcomesMTMTM platform. A retrospective chart review of the OutcomesMTM™ platform was performed for all patients who received MTM services between May 2013 and October 2014. The number and type of MTM interventions was tracked. For each intervention, the ECA level submitted to and accepted by the third party reviewer was collected. The ECA will be calculated using the cost associated to the CareSource™ managed care provider for each ECA level.

Study Timeline

• Study Start: 2015-02
• Study First Submitted: 2015-03-18
• Primary Completion: 2015-12
• Study Completion: 2016-12
• Status Verified: 2023-01
• Study First Submitted QC: 2023-01-25
• Last Update Submitted: 2023-01-25
• Study First Posted: 2023-02-03
• Last Update Posted: 2023-02-03

Recruitment & Eligibility

• Status: WITHDRAWN
• Sex: All
• Target Recruitment: Not specified

Inclusion Criteria

• Patient of a primary care doctor within The Ohio State University Division of General Internal Medicine
• CareSource™ Medicaid managed care as the insurance provider

Exclusion Criteria

• n/a

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Estimated cost avoidance	1.5 years of data collected retrospectively

Secondary Outcome Measures

Name	Time	Method
Number of medication therapy management claims made	1.5 years of data collected retrospectively
Types of medication therapy management claims made	1.5 years of data collected retrospectively