Implementation of a pharmacist-delivered Medicare counseling service in a rural community health center.

OBJECTIVE

To describe a pharmacist-delivered Medicare counseling service in a rural community health center for providing patients and community members with information and resources to facilitate informed Medicare plan selection(s).

SETTING

Federally-qualified health center.

PRACTICE INNOVATION

Health center patients and community members met with a pharmacist for individual Medicare counseling. The appointments provided an opportunity to educate clients on Original Medicare and private plan options for supplemental medical and drug coverage, compare specific plans, and assess eligibility for financial assistance programs.

EVALUATION

Data were collected from client contact forms completed for individuals counseled between July 1, 2015 and June 30, 2018. Data were then summarized with descriptive statistics and analyzed with Fisher exact tests.

RESULTS

A total of 47 appointments were completed with 31 unique clients. They were mostly women (n = 18, 58.1%) and aged 65 years or more (n = 17; 54.8%) but evenly divided between patients established with the health center (n = 15; 48.4%) and community members (n = 16; 51.6%). During appointments, the most common topic was an explanation of medical or drug benefits (n = 40; 85.1%) followed by comparison of specific plans (n = 25; 53.2%) and then screening individuals for Original Medicare or private plan eligibility (n = 27; 57.4%). There were no statistically significant differences when comparing topics discussed for current versus new Medicare beneficiaries. During follow-up visits, patients were less likely to be screened for Original Medicare or private plan eligibility (74.2% vs. 25%; P = 0.002), financial assistance programs (77.4% vs. 37.5%; P = 0.011), or have specific plans compared (71.0% vs. 37.5%; P = 0.034).

CONCLUSION

A pharmacist-provided Medicare counseling service in a rural community health center was used by both patients and community members. This may be an effective strategy to improve beneficiary understanding of Medicare benefits and enable the selection of better insurance plans in underserved populations. Further research is needed to assess individual-level outcomes and scalability to other settings.