Comparison of two Medication Therapy Management Practice Models on Return on Investment Authors
نویسندگان
چکیده
Objective: To compare the return-on-investment (ROI) of an integrated practice model versus a "hub and spoke" practice model of pharmacist provided medication therapy management (MTM). Methods: A cohort retrospective analysis of MTM claims billed in 76 pharmacies in North Carolina in the 2010 “hub and spoke” practice model and the 2012 “integrated” practice model were analyzed to calculate the ROI. Results: In 2010, 4,089 patients received an MTM resulting in 8,757 claims in the "hub and spoke" model. In 2012, 4,896 patients received an MTM resulting in 13,730 claims in the “integrated” model. In 2010, $165,897.26 was invested in pharmacist salary and $173,498.00 was received in reimbursement, resulting in an ROI of +$7,600.74 (+4.6%). In 2012, $280,890.09 was invested in pharmacist salary and $302,963 was received in reimbursement, resulting in a ROI of +$22,072.91 or (+7.9%). Conclusion: The integrated model of MTM showed an increase in number of claims submitted and in number of patients receiving MTM services, ultimately resulting in a higher ROI. While a higher ROI was evident in the integrated model, both models resulted in positive ROI highlighting that MTM programs can be cost effective with different strategies of execution.
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