1. Medication Therapy management
why we do it| how we do it| the result
Kevin Ronneberg, MD
Vice President, health initiatives and associate medical director
[MODERATOR WILL INTRODUCE KEVIN]

2. Meet Annie
Annie, mid-70’s, Alzheimer’s disease, chronic kidney disease, CHF and diabetes
Hospitalized 5 times in 2 years
Lives alone
PCP referred her to MTM
Pharmacist helped with:
Changing injections to safer oral diabetes medications
Creating a plan for Annie to weigh herself daily and take extra diuretic medication if she notices weight gain to reduce swelling and make breathing easier
Helping Annie enroll in mail order program which sends refills at the same time each month
Teaching Annie’s brother how to help set up her medication box
Helping Annie understand why she needed an antibiotic that she had stopped taking for a chronic hip infection
Result: no ED or hospitalizations four months after meeting with MTM pharmacist

3. experience | health | affordability
mission
Improve health and well-being
in partnership with our
members, patients and community
vision
HealthPartners, as a health solutions company, provides coverage, care, research and education to improve health and well-being in partnership with our members, patients and community. Our approach is built upon our vision: Health as it could be, affordability as it must be, through relationships built on trust.
We have 22,000 employees who show up to work every single day to make good happen. We believe in sharing what we learn through research and practice within our own care facilities with others throughout the nation. We believe that good things are meant to be shared and that only together, as a community, will we truly make a difference in population health and well-being.
Health as it could be,
affordability as it must be,
through relationships built on trust

4. Impacting medicine use to improve total cost of care
The value of MTM
Impacting medicine use to improve total cost of care
Problem from HP point of view.
When consumers don’t take medicine correctly, preventable health issues turn into chronic diseases, resulting in poor health outcomes and unnecessary health care costs. Non-adherence leads to,
$290 billion wasted health care dollars annually
125,000 deaths annually
10 percent hospital admissions
23 percent nursing home admissions
As an integrated system of care and coverage, HealthPartners has the unique ability to view care, from perspectives of both the payer and provider. By focusing on optimizing medicine use, we’re also able to look at lowering total cost of care.
Our approach, Medication Therapy Management (MTM) helps connects patients with specially-trained clinical pharmacists to help them get the most from their medicine. MTM identifies gaps in care to achieve optimal health outcomes and reduce costs by making sure that patients:
are prescribed the correct medicine
can afford the medicine they’re taking
take their medicine correctly
are getting the right results and that the medicine is working

5. How it works Safe The right medicine Effective Convenient
Our comprehensive medication management approach is to provide access to the support our members need — when they need it and for as long as they need it. This team based approach The goal is to understand the patient’s needs and their health goals, so we can support them in achieving their best health. In every visit we want to evaluate if the medicine is
The right medicine/there’s a reason to take it
Effective
Safe
Convenient (cost, adherence)
Doctors and pharmacists work alongside one another to focus on care needs. While the doctors diagnose a condition, the MTM pharmacist is the expert when it comes to medicine. Often consumers are confused by their medicine and need a partner to walk through the complexities of side effects, interactions, specific directions and costs. While there might not be time to understand these details during an office visit, a pharmacist can work with their patients to get a deep understanding of their medicine. Pharmacists are viewed to be one of the most trusted care professionals and combined with their expertise in medicine, they can support patients in maximizing the value of their medicine.
Convenient

6. 67% MTM The results 37% control Optimal diabetes care
A study was done at a large, government employer.
HealthPartners studied the effects of MTM with a group of about 600 people.
The program had incredible results.
Optimal Diabetes Care achieved in 67.1% of MTM participants vs 37.5% in control (8 years).
This has since been expanded across their entire population. Now participants are aging into medicate healthier than they would have.
37% control

7. Using the Medication Therapy Management program has produced overall savings among eligible members in the elevated-risk and high-risk groups. For
members having medicine-related problems we have seen:
$1,400 savings per year with elevated members at an elevated risk
$4,500 savings per year with members at a high-risk
These results are based on a moderate/high-risk commercial population. While we can’t track Medicare results, we have every reason to believe we would find the same numbers.

8. Increasing value, improving lives
Bringing it back to why we do this work: we want to increase the value of medicine and improve the lives of thousands of people, just like Annie.