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Experts analyze benefits, opportunities and challenges of Medicare Part D
Date:6/29/2010

held with rural Illinois pharmacists shortly after the implementation of Medicare Part D. They explored the impact on the rural pharmacy environment, in particular looking for any similarities or differences in the perceptions of rural independent and chainstore pharmacists. The authors found that rural independent pharmacies may be more highly impacted, which in turn could jeopardize their viability in serving patients in these communities.

Su Zhang and co-authors surveyed independent pharmacies to assess their satisfaction with Medicare Part D contracts. If prevalent, low satisfaction could reduce the access of Medicare Part D beneficiaries to pharmacist services. Independent pharmacy owners' satisfaction was most influenced by equity or fairness, contending, a willingness to negotiate, generic rate bonuses and medication therapy management (MTM) payments.

Medication therapy management (MTM) is a relatively new service for Medicare Part D beneficiaries, and MTM best practices are not established. Leticia R. Moczygemba and co-authors assessed patient satisfaction with a pharmacist-provided telephone Medicare Part D MTM program. Overall, patients were satisfied with the MTM program. They indicated that they liked receiving MTM via the telephone, but would also be willing to attend a face-to-face MTM consultation.

Pharmacists are also on a learning curve with MTM services. Beth A. Martin and her colleagues developed a scale to measure community pharmacists' self-efficacy in performing medication therapy management services. The 3-factor 14-item scale can be used to measure change in self-efficacy as MTM programs expand, identify specific training interventions, and target pharmacists for inclusion in future initiatives.


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Contact: Chris Baumle
c.baumle@elsevier.com
215-239-3731
Elsevier Health Sciences
Source:Eurekalert

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