There’s no denying that the medication therapy management programs (MTMPs) mandated for Medicare Part D plans have been beneficial for seniors, producing positive results that help seniors live healthier lives. The basic principles of these programs are transferable to commercial populations, providing employers with innovative programs to better manage increasing medical and prescription drug costs.
The statistics continue to alarm. In a 2005 Commonwealth Fund survey of working Americans ages 19 to 64, two thirds missed one or more days of work because of their own health problems or those of a family member.
A well-designed and executed MTMP can help employees achieve the highest quality of life possible and a higher level of productivity by helping ensure that they use their drugs safely and appropriately.
Leading PBMs are at the forefront of promoting safe drug utilization to prevent adverse drug reactions (ADRs) and reduce health care costs with drug interaction detection programs. These programs track all prescription claims for a member from any pharmacy and any doctor in real time, and specifically target members who fill a drug that interacts with a previously filled medication prescribed by a different doctor.
Other examples of MTMP that have evolved from the senior marketplace include:
Employers have recognized that their employees’ health plays a direct role in their day-to-day productivity. More and more, they are looking to their PBMs for innovative programs that will manage their increasing medical and prescription drug costs. MTMPs have proven track records and have been shown to benefit employees of all ages. By helping employees manage their illnesses through such programs, employers help employees improve the quality of their lives, improve productivity in the workplace, and reduce health care costs by avoiding unnecessary hospitalizations and ER visits.