Conference Coverage

Management program improves adherence in specialty pharmacy patients


 

REPORTING FROM AMCP NEXUS 2019

Changes and enhancements to a patient management program increased engagement and improved medication adherence for specialty pharmacy patients, according to research presented at the annual meeting of the Academy of Managed Care Pharmacy.

Patient management programs can help improve quality, satisfaction, and health outcomes for pharmacy patients, according to Brian MacDonald, PharmD, of Magellan Rx Management, and colleagues.

“The goal of a successful patient management program is to improve medication use and overall wellness, which can be achieved through patient engagement and empowerment,” they wrote in a poster presented at the meeting, adding that engaging patients can be a challenge.

Dr. MacDonald and colleagues analyzed claims data from January 2016 through April 2019 for more than 14,000 specialty pharmacy patients aged 18 years and older. Eligible patients – defined as those with at least one paid claim for a self-administered specialty drug in 10 eligible categories – were offered monthly coaching services via a patient management program. Baseline data were collected in 2016.

Over the course of the intervention, several changes were made to the patient management program in an effort to improve patient satisfaction.

Staffing was increased and priority was given to new patients. In addition, digital support tools were expanded, and staff engaged in continuous attempts to engage patients.

Patient engagement in the management program increased significantly from 21.6% in the baseline period to 33.4% during the intervention, and increased across all disease categories.

Patients eligible for the management program showed improved medication adherence, measured by the proportion of days covered, at 89.4% vs. 88.1% for ineligible patients. Further, a significantly greater percentage of eligible patients reached a target adherence of more than 85% over that same time period.

The investigators noted that a longer follow-up period may provide improved information on the impact of patient management programs on improved adherence and medical outcomes.

Magellan Rx Management funded the study. Dr. MacDonald and his colleagues are employees of the company.

SOURCE: MacDonald B et al. AMCP Nexus 2019, poster U11.

Recommended Reading

Optimizing a Total Joint Replacement Care Pathway to Reduce Skilled Nursing Facility Utilization
Journal of Clinical Outcomes Management
Clinician burnout can impact quality of care
Journal of Clinical Outcomes Management
Hypoxia-related discoveries net Nobel Prize
Journal of Clinical Outcomes Management
HHS floats Stark/anti-kickback revisions to support value-based care
Journal of Clinical Outcomes Management
Court of Appeals to decide fate of Medicaid work requirements
Journal of Clinical Outcomes Management
Bringing focus to the issue: Dr. Elizabeth Loder on gender in medicine
Journal of Clinical Outcomes Management
State medical boards under fire in physician suicides
Journal of Clinical Outcomes Management
Inspector General: NIH must improve conflict of interest reviews
Journal of Clinical Outcomes Management
Mistreatment of surgical residents linked to burnout
Journal of Clinical Outcomes Management
Net prices of drugs rising four-times faster than inflation
Journal of Clinical Outcomes Management