Medication Therapy Management

Services aimed at identifying, preventing, and resolving medication-related problems to optimize therapeutic outcomes

Medication Therapy Management is a common solution for geriatric patients at high risk for medication-related problems. These issues often stem from polypharmacy linked to multiple underlying diseases and age-related physiological changes impacting pharmacodynamics and pharmacokinetics

Custom platform designed to help reduce $500 billion in medication-related problems in the U.S
MTM can help reduce the approximately 1.5 million preventable adverse drug events (ADEs) per year caused by medication errors
40% of adults over 65 and 90% of adults over 75 take 5 or more medications.
There is an 82% risk of an adverse drug reaction occurring in patients who take 7 or more medications.
Medication Therapy Management reduces medication-related problems and healthcare-related costs through

  • Medication Therapy Management leads to fewer unnecessary Emergency Room visits

  • Medication Therapy Management results in fewer hospitalizations

  • Medication Therapy Management contributes to improved health status

  • Decreased pharmacy spending due to polypharmacy

  • Improved MTM process and reimbursement

Medication therapy management helps prevent these problems

1. Underused medication
2. Dose too low
3. Drug interactions
4. Dose too high
5. Inappropriate administration/technique
6. Unnecessary medication therapy
7. Need for an additional medication therapy
8. Suboptimal medications
9. Adverse drug reaction
10. Overuse of medication
11. Polypharmacy

Nearly half of the Medicare Parts C and D Star Ratings quality measures are linked to Medication Therapy Management use, focusing on outcome improvement, patient experience enhancement, and MTM process effectiveness.

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Medicare Part C Measures we Target to improve star ratings

  • Breast Cancer Screening

  • Colorectal Cancer Screening

  • Annual Flu Vaccination

  • Care for Older Adults – Medication Review

  • Osteoporosis in Women with Fracture

  • Diabetes Care (Eye Exam, Kidney Disease, Blood Sugar)

  • Controlling Blood Pressure

  • Rheumatoid Arthritis Management

  • Reducing Risk for Falls

  • Improving Bladder Control

  • Med-Rec Post Discharge

  • Plan All-Cause Readmissions

  • Statin Therapy for Patients with Cardiovascular Disease

Medicare Part D Measures we Target to improve star ratings

  • MTM Program Completion Rate for CMR

  • Medication Adherence for Diabetes Medications

  • Medication Adherence for Hypertension (RAAS antagonists)

  • Medication Adherence for Cholesterol (statins)

  • Improved MTM process and reimbursement

Customized Medication Therapy Management platforms tailored to meet CMS quality measures
Our MTM solutions feature a nationwide team of clinical pharmacists available to your patients. Utilizing patented AI technology, these pharmacists are equipped to identify, predict, prevent, and resolve medication-related problems and care gaps in diseases. The outcome is improved financial and patient health outcomes.
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Customizable MTM solutions tailored to your specific needs

Verify eligibility, serve outpatients, and achieve better health outcomes

Aligns with your strategic goals and meets regulatory standards, including CMS reporting requirements
Addresses Social Determinants of Health (SDOH) through predictive and real-time analytics, utilizing risk stratification algorithms
Specialized or custom programs tailored to specific disease states or high-risk populations
Delivers valuable business intelligence and insights for population risk management
Nationwide coverage of MTM services to patients in all 50 states through pharmacists
Program and compliance support, including CMS audits, internal audits, reporting, MTM program submissions, etc
High-touch and high-quality Comprehensive Medication Reviews (CMRs)
Transitions of care and follow-up after emergency department visits for individuals with multiple high-risk chronic conditions
Pharmacist-patient matching based on disease states and language preference
Standardized patient and prescriber communications, including welcome letters, patient medication lists and/or takeaway materials, and prescriber communications

AI-driven MTM (Medication Therapy Management) technology

  • Scalable platform designed to identify and resolve medication and disease-related problems

  • Medication side effect profiling

  • Predictive analytics

  • Social Determinants of Health (SDOH)

  • Evidence-based decision support

  • Patient friendly mobile platform

  • Smart notifications

AI-driven comprehensive disease and medication management process

Payors benefit from using MTM services through improved medication adherence

  • Reduce health Costs

  • High CMR completion rates

  • Improves Part C and Part D Star Ratings measures

  • Improves HEDIS® care gaps and CAHPS

  • Improves patient outcomes

  • Early identification of potential drug interactions, adverse reactions, and side effects

MTM services benefit both patients and providers in several ways
Patients appreciate the support of a structured Medication Therapy Management (MTM) program. Engagement with PharmD Live is designed to improve health and reduce costs with quantifiable benefits, including:

  • Early identification of potential drug interactions, adverse reactions, and side effects

  • Medication reconciliation

  • Improved quality measure scores directly correlate with CMS reimbursement rates

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Who we are

We are SimpleCare Medical Services (SMS). The leading provider of remote care management. Experts in Medication and Chronic Care Management (CCM). We partner with Independent Practices, Accountable Care Organizations, FQHCs & Community Health Centers, Hospitals & Health Systems to deliver Telehealth solution for patients with Multiple chronic conditions.

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