Medication Therapy Management Services: A Critical Review: Executive Summary Report
May 2005
American Pharmacists Association
The American Pharmacists Association (APhA) commissioned The Lewin Group to develop a report examining the range of Medication Therapy Management (MTM) programs and practices, and how they are currently being reimbursed. In the final rule implementing the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA), the Centers for Medicare and Medicaid Services (CMS) said that MTMS must "evolve and become a cornerstone of the Medicare Prescription Drug Benefit." The purpose of this report was to identify existing MTMS programs, standards of practice, and compensation models, and to develop a model for payers to consider in compensating pharmacists for MTMS. This report is intended to serve as a resource for pharmacists, health plans, and PDP sponsors charged with designing and implementing a Medicare MTM program.