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HLCCompendium
HLCCompendium
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NDHI<br />
NAT IONAL DIALOGUE FOR<br />
Healthcare Innovation<br />
OutcomesMTM<br />
Organization Overview<br />
• Cardinal Health is a global, integrated healthcare<br />
services and products company<br />
• The company offers cost-effective solutions to<br />
enhance supply chain efficiency, connecting stakeholders<br />
across the care continuum<br />
• OutcomesMTM, a Cardinal Health company, leads<br />
the nation in the design and implementation of<br />
Medication Therapy Management (MTM) programs<br />
Background<br />
In the United States, costs from medication-related<br />
problems are as high as $300 billion annually. Better<br />
medication use means lower use of unnecessary<br />
healthcare services and healthier patients.<br />
OutcomesMTM was founded in 1999 by a group of<br />
pharmacists and businesspeople who had a vision for<br />
delivering better health via a readily accessible and<br />
widely trusted healthcare professional — the local<br />
pharmacist. They wanted to empower pharmacists to<br />
use their clinical expertise to improve MTM and overall<br />
quality of life for patients, in a way that helped them<br />
earn money and support their business.<br />
Since then, MTM has become widely adopted by insurers<br />
and associated pharmacies across the US to reduce<br />
adverse events and help patients achieve the best<br />
outcomes for medication therapies. OutcomesMTM<br />
offers a systematic, multi-channel approach to MTM,<br />
enabling local pharmacists to become knowledgeable<br />
health care providers and care partners for patients.<br />
Service Details<br />
OutcomesMTM connects Medicare, Medicaid, commercial<br />
health plans, employers, and other healthcare<br />
payers with a national network of 100,000 local chain,<br />
independent, and health-system pharmacy providers to<br />
provide MTM services. Clients can implement existing<br />
programs offered by OutcomesMTM or partner with<br />
the company to design and pilot new services.<br />
The objectives of OutcomesMTM’s services are to:<br />
1. Help patients to get better results from their<br />
medications<br />
2. Avoid unnecessary medication and healthcare costs<br />
3. Achieve better health<br />
OutcomesMTM serves patients across the US with its<br />
wide network of community pharmacists:<br />
• OutcomesMTM covers 5 million-plus members for<br />
over 40 healthcare payers in all 50 states, Washington<br />
D.C. and Puerto Rico<br />
• More than 100,000 pharmacists have completed<br />
training and ~61,000 pharmacies are contracted<br />
with OutcomesMTM<br />
• Although services span a wide array of conditions, a<br />
few common focus areas include diabetes, asthma,<br />
and high cholesterol<br />
The service also provides plan sponsors with estimated<br />
avoided costs and return on investment, using its Actuarial<br />
Investment Model (AIM). Each OutcomesMTM claim<br />
An Initiative of the<br />
61 |<br />
OutcomesMTM