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    Three trends affecting managed care


    Trend 3: Medication Therapy Management and Adherence

    A Centers for Medicare and Medicaid Services research study observed that medication non-adherence in 2000 was the cause of 33% to 69% of medication-related hospital admissions.

    That year, the price to the U.S. of medication non-adherence was over $177 billion, and 70%of that amount was for hospital admissions. The study found that medication therapy management programs consistently improve medication adherence in patients.

    Chronic conditions almost always require medications for control, and current adherence statistics are alarming—only one out of four patients take their prescription medications as directed, yet 70% of Americans take at least one prescription drug and 20% take five or more.

    The medication cannot work if it is not taken properly, meaning that patient engagement around medication adherence becomes critical for better outcomes and reduced costs. Engaging with community pharmacists at the point of care must be considered if we are to optimize medication therapy.

    Addressing these three trends—chronic condition management, mobile health, and medication therapy management services—is key to health insurers successfully managing the health of the populations they serve in a financially sustainable manner.

    Mike Myers, is EVP, solution delivery at AxisPoint Health



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