OutcomesMTM: Policy Update - Outsourcing MTM

Author: Angie Shirley/Monday, January 4, 2016/Categories: APCI Choice

OutcomesMTM Policy Update - Outsourcing MTM

As you may have heard, CMS released a preview of the 2016 Medicare Part C & D Star Ratings (see attached) to Part D plan sponsors, which included the Star Rating cut points for the new Part D Star measure—MTM Program Completion Rate for Comprehensive Medication Reviews (CMRs). As performance expectations heighten with the release of this new data, pharmacies with limited resources may begin to look at outsourcing MTM opportunities to a vendor.

OutcomesMTM® leverages local relationships among pharmacies, patients and prescribers to advance the Face-to-Face Difference® in MTM. We support innovative efforts to deepen the relationships between you and the patients you serve and are committed to local delivery of care. To help maintain the highest levels of quality, outsourcing MTM opportunities to a vendor is not permitted by OutcomesMTM. When MTM opportunities cannot be completed by the Personal Pharmacist™ Network, OutcomesMTM has a phone-based back-up to ensure patients receive necessary services.

If you have questions, please contact OutcomesMTM Provider Resources at 877.237.0050 or info@outcomesmtm.com.

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