Category: MTM Trends

CMS Advance Call Letter, Impact on MTM Program Submission

CMS recently released the 2018 Advance Call Letter for Medicare Part D Programs (https://www.cms.gov/Medicare/Health-Plans/MedicareAdvtgSpecRateStats/Downloads/Advance2018.pdf).  Submissions for the Medication Therapy Management (MTM) program are due May...

Trends in STAR Cut Points

In November CMS released it’s report – Trends in Part C & D STAR measure rating cut points (https://www.cms.gov/Medicare/Prescription-Drug-Coverage/PrescriptionDrugCovGenIn/Downloads/2017-Trends-in-Part-C-and-D-Star-Ratings-Cut-Points.pdf) . To be sure, this...

MTM Pilot Audits

CMS, after a summer of audits, released it’s first guidance on MTM Pilot Audits – Part D Medication Therapy Management Program Area PILOT Audit Process...

Medication Related STAR Measures

Medication management (MM) is proving to be a viable tool for improving medication related quality metrics. More and more, managed care organizations are exploring...

ENHANCED MTM: PREPARING YOUR SUBMISSION

November 20, 2015 Prescription drug plans (PDPs) serving the five Part D regions eligible to participate in the Part D Enhanced Medication Therapy Management...
James Notaro, founder of CSS Health

CMS Expectations of CMR Completion Rates

Thoughts on CMS’ Future Expectations of CMR Completion Rates for Medicare Part D Plans Comprehensive Medication Reviews (CMR) changed from a Display Measure to...