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New Data: Advanced Pharmacy Model Significantly Reduces Gaps in Care for Patients with Chronic and Complex Conditions; Improves Clinical and Financial Outcomes
Date:11/21/2008

percent of the clinical gaps related to patients not adherent to diuretic medications.
  • For hyperlipidemia, Medco closed 74 percent of the clinical gaps related to patients not adherent to statin medications to lower cholesterol.
  • Medco closed 24 percent of the gaps related to diabetes patients under insulin treatment who were not monitoring their blood sugars.
  • Medco closed 7 percent of the gaps related to diabetes patients who, contrary to evidence-based protocols, never had a statin prescribed.
  • The second analysis, which was a review of two years of pharmacy and medical data, concluded that using the Medco Therapeutic Resource Centers (TRC) substantially reduced overall health care costs for select patients with hypertension by improving adherence to evidence-based standards. Per patient health care costs for hypertensive patients who either were primarily or exclusively using the TRCs was $10,509 annually, a $700 per-patient reduction in health care costs compared to the traditional pharmacy care model.

    "In addition to elevating clinical care to improve patient wellness, this reduction in overall health care costs represents a significant breakthrough, and serves as a baseline for driving further improvement through our Six Sigma quality protocol, which is a foundation in achieving the potential of evidence-based medicine," said Kenneth O. Klepper, Medco president and chief operating officer.

    The third analysis compared compliance with evidence-based diabetes quality-of-care metrics for patients enrolled in the TRCs compared with those patients obtaining standard pharmacy care services.

    Key findings comparing TRCs to traditional pharmacy channels revealed:

    • More than 78 percent of TRC patients were adherent to their diabetes medications, compared to only 56.5 percent.

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    SOURCE Medco Health Solutions, Inc.
    Copyright©2008 PR Newswire.
    All rights reserved

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