CMS treats opioid overutilization as mandatory review, independent of standard MTM eligibility. How a pharmacy auto-clear exclusion list mirrors that same logic. (161 chars)
A record-exchange built to skip the patient still had errors in 99.4% of medication histories — mostly omitted OTC drugs. Why automation doesn’t close that gap.
CMS forced pharmacies to get consent before auto-refilling in 2014. GAO still found $1.6M in unwanted Medicaid fills. What the record shows about asking first. (159 chars)
Plans report 83% CMR completion. Of all eligible beneficiaries, it’s closer to one in ten. Two different numbers, one program – what the gap reveals.
MTM competes with the dispensing counter for the same pharmacist minute. What the evidence says about workflow integration as MTM’s hardest barrier – not the clinical work itself.
A CMR pays about $60, a TMR about $10-12 – but both take a pharmacist 20 to 31 minutes to deliver. What the reimbursement math looks like once real labor cost is counted.
Two-thirds of patients never tell a clinician they skip meds for cost, and abandonment hits 54% at $250. How a patient-confirmed list surfaces the gap earlier.
A projected 86,000-physician shortage and ~17% RN turnover break medication continuity at handoffs. Why a patient-attested list survives staff churn.
22% of e-prescriptions are never filled and omissions are the top discrepancy type. How an inaccurate medication list drives refill lapses and dissatisfaction.
Three triple-weighted adherence measures drive a third of a plan’s Star Rating, and nonadherence costs $100-300B a year. The payer’s stake in accurate med lists.
