Medication Therapy Management
Services that are focused on identifying and preventing medication-related problems.
Services that are focused on identifying and preventing medication-related problems.
Humana offers a Medication Therapy Management (MTM) program—for those enrolled in eligible Medicare or Medicaid plans—that helps ensure patients achieve the best possible outcomes from their medications. The patient-centered MTM program promotes collaboration between the pharmacist, patient and prescriber to optimize safe and effective medication use. The goal of this program is to optimize therapeutic outcomes by focusing on safety, effectiveness, lower-cost alternatives and adherence.
A comprehensive medication review (CMR) is a real-time, interactive medication review performed by a qualified healthcare professional to assess a patient’s medications (including prescriptions, over-the-counter medications, herbal therapies and dietary supplements) and is intended to aid in assessing medication therapy and optimizing patient outcomes.
A targeted medication review (TMR) is an ongoing monitoring process with outreach made to the patient and/or prescriber about a specific or potential medication-related problem, without a comprehensive assessment of the patient’s medications. TMRs may be performed to assess medication use, to monitor whether any unresolved issues need attention, to determine if new drug therapy problems have arisen or to assess if the beneficiary has experienced a transition in care.
Contact your Provider Engagement representative in your market for a current list of your eligible patients.
Reference:
MTM services include comprehensive medication reviews (CMR) and targeted medication reviews (TMR). The CMR is a real-time review of the patient’s entire medication profile and is offered at least annually. Once enrolled in the MTM program, the patient or prescriber may be contacted about a TMR if an issue is identified with one of the patient’s medications. These TMRs address specific or potential medication-related problems and are used to assess medication use and issues needing attention.
Eligible Medicare patients can have a face-to-face or telephone consultation with a qualified healthcare professional. The goal of the consultations is to help patients:
Patients who meet predetermined eligibility requirements may qualify for the MTM program.
Once a Medicare or Medicaid patient becomes eligible for MTM, the patient will receive notification of his/her eligibility and an offer to schedule a consultation with a qualified healthcare professional.
Welcome! How may we help?