Humana Inc, Competitive Health Analytics, 321 W. Main St, WFP6W, Louisville, KY 40202, USA.
Am J Manag Care. 2011 Oct 1;17(10):e399-409.
To evaluate the impact of a pharmacist-provided telephonic medication therapy management program (MTMP) on drug, medical, and total expenditures in a Medicare Advantage Prescription Drug (MAPD) plan population from the perspective of the health plan sponsor.
Prepost analysis with a matched control group.
The intervention group was composed of MTMP-eligible MAPD members who received a pharmacist-provided telephonic consultation during the first quarter of 2008. Propensity score matching was used to select a matched control group among the remaining pool of MTMP-eligible MAPD members who did not receive a pharmacist-provided telephonic or face-to-face MTMP consultation in 2008. All-cause healthcare spending was determined before and after an intervention period for the MTMP consultation and control groups. A difference-in-difference analysis was performed to assess the impact of MTMP consultation on all-cause healthcare spending.
A total of 432 MTMP-eligible MAPD members who received an intervention were matched to a comparison group of 432 members. The MTMP consultation group and the comparison group had different unadjusted total expenditures after intervention. The MTMP consultation group had an average of $3680 less per member in the postintervention period compared with the preintervention period, while the matched comparison group had an average of $393 more in the postintervention period compared with the preintervention period. Results from difference-in-difference regression analyses suggest that MTMP consultation was associated with lower total expenditures after adjusting for other baseline covariates.
Pharmacist-provided telephonic MTMP consultations can lead to decreases in total all-cause healthcare expenditures.
从健康计划赞助商的角度评估药剂师提供的电话药物治疗管理计划（MTMP）对医疗保险优势处方药（MAPD）计划人群中药物、医疗和总支出的影响。
具有匹配对照组的前后分析。
干预组由在 2008 年第一季度接受药剂师提供的电话咨询的 MTMP 合格的 MAPD 成员组成。使用倾向评分匹配从其余 MTMP 合格的 MAPD 成员中选择匹配的对照组，这些成员在 2008 年没有接受药剂师提供的电话或面对面的 MTMP 咨询。在 MTMP 咨询和对照组的干预期前后确定全因医疗保健支出。进行差异分析以评估 MTMP 咨询对全因医疗保健支出的影响。
共有 432 名符合 MTMP 条件的 MAPD 成员接受了干预，与对照组的 432 名成员相匹配。干预后，MTMP 咨询组和对照组的总支出存在差异。与干预前相比，MTMP 咨询组在干预后每个成员的平均支出减少了 3680 美元，而匹配的对照组在干预后每个成员的平均支出增加了 393 美元。差异分析回归分析的结果表明，在调整其他基线协变量后，MTMP 咨询与总支出降低相关。
药剂师提供的电话 MTMP 咨询可以降低全因医疗保健总支出。
