February
23, 2018
PLAN
UPDATES
New MTM opportunities for
UHG
UnitedHealth
Group patients are now in the platform. These opportunities are available
earlier than in previous years, so take advantage of the extra time and
encourage your staff to complete these CMRs!
Additional
opportunities for UHG – and other health plans – will become available as
patients meet eligibility criteria, so log into the platform regularly to view
new MTM opportunities!
PROGRAM
UPDATES
MTM Madness 2018
MTM
Madness tips off next week! We’re spurring some friendly MTM competition –
March Madness style. Thirty-two high performing pharmacies will be seeded into
the bracket based upon their 2017 performance.
Each
week, pharmacies will compete based on performance of specific MTM services:
- Week 1 (2/27–3/5):
Technician/Student Involvement (claims documented by technician/student
role)
- Week 2 (3/6–3/12): Cost TIPs
- Week 3 (3/13-3/19): Quality
TIPs
- Week 4 (3/20-3/26): Star TIPs
- Week 5 (3/27-4/2): CMR
Completion
Follow
OutcomesMTM
on Twitter for MTM Madness updates!
GENERAL
UPDATES
Changes to report card
scoring
With
the help of pharmacies, OutcomesMTM wants to connect as many patients as
possible with valuable MTM services. However, we know that opportunities for
non-primary patients may be more challenging to complete successfully.
Therefore, non-primary patients will no longer count toward your pharmacy's
score. This change acknowledges that primary patients are the main focus for
pharmacies and enables them to attempt non-primary patients without fear of
negatively impacting their MTM Center’s performance.
We’ve
also made a slight change to the weighting of the service categories to better
align report cards with what is most important to the health plans. Please
reach out to your network representative with any questions about these
updates.
- CMRs: 50% (previously 40%)
- Star TIPs: 30% (no change)
- Quality TIPs: 15% (Cost and
Quality were previously combined for a weighted total of 30%)
- Cost TIPs: 5%
Are you attending APhA?
Representatives
from OutcomesMTM will attend APhA in Nashville next month. If you're available
to meet with our team to discuss MTM opportunities and initiatives, please email us!
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