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Assessing Medicare Beneficiaries' Willingness-to-Pay for Medication Therapy Management Services

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Objectives: To assess Medicare beneficiaries’ willingnessto-pay (WTP) for medication therapy management (MTM) services and determine sociodemographic and clinical characteristics influencing this payment amount.

Design: A cross-sectional, descriptive study design was adopted to elicit Medicare beneficiaries’ WTP for MTM.

Setting: Nine outreach events in cities across Central/Northern California during Medicare's 2011 open-enrollment period.

Participants: A total of 277 Medicare beneficiaries participated in the study.

Interventions: Comprehensive MTM was offered to each beneficiary. Pharmacy students conducted the MTM session under the supervision of licensed pharmacists. At the end of each MTM session, beneficiaries were asked to indicate their WTP for the service. Medication, self-reported chronic conditions, and beneficiary demographic data were collected and recorded via a survey during the session.

Results: The mean WTP for MTM was $33.15 for the 277 beneficiaries receiving the service and answering the WTP question. WTP by low-income subsidy recipients (mean ± standard deviation; $12.80 ± $24.10) was significantly lower than for nonsubsidy recipients ($41.13 ± $88.79). WTP was significantly (positively) correlated with number of medications regularly taken and annual out-of-pocket drug costs.

Conclusion: The mean WTP for MTM was $33.15. WTP for MTM significantly varied by race, subsidy status, and number of prescription medications taken. WTP was significantly higher for nonsubsidy recipients than subsidy recipients, and significantly positively correlated with the number of medications regularly taken and the beneficiary rating of the delivered services.
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Keywords: CMS = Centers for Medicare & Medicaid Services; MTM = Medication therapy management; Medicare Part D; Medication therapy management; OOP = Out-of-pocket; Out-of-pocket; QOL = Quality of life; WTP = Willingness-to-pay; Willingness-to-pay

Document Type: Research Article

Publication date: 01 February 2014

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  • The Consultant Pharmacist® is the official peer-reviewed journal of the American Society of Consultant Pharmacists. It is dedicated exclusively to the medication needs of the elderly in all settings, including adult day care, ambulatory care, assisted living, community, hospice, and nursing facilities. This award-winning journal is a member benefit of ASCP. Individuals who are not members and wish to receive The Consultant Pharmacist® will want to consider joining ASCP.
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