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A Personalized Approach That Improves Member Care and Boosts Stars Scores
To comply with state Medicaid plans and the Centers for Medicare and Medicaid Services (CMS), all Part D plan sponsors are mandated to implement a Medication Therapy Management (MTM) program. This program aims to optimize therapeutic outcomes by ensuring that covered medications are used appropriately. The effectiveness of the MTM program is evaluated based on two factors: surpassing CMS compliance requirements and the number of completed Comprehensive Medication Reviews (CMRs). By meeting these criteria, the MTM program demonstrates its commitment to enhancing medication usage and patient outcomes.
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