Exploring the Valley of Savings: Minimizing Part D Costs and Optimizing Drug Therapy Outcomes in Medicare Beneficiaries With Developmental Disability

Nonelderly disabled Medicare beneficiaries have a higher prevalence of chronic conditions, higher utilization of prescription medications, and increased demand for clinical services when compared to beneficiaries 65 years of age and older who are not disabled. Out-of-pocket costs and medication-rela...

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Bibliographic Details
Published in:Intellectual and developmental disabilities 2019-06, Vol.57 (3), p.234-241
Main Authors: Rogan, Edward L, Ranson, Carly A, Mori, Traci K, Park, Salley K, Lam, Howard M, Legaspi, Jamie F, Tran, Lan Kim, Cameros, Christine Julie M, Blackburn, Amy Natsuki, Lee, Sandra T, Valle-Oseguera, Cynthia S, Pham, Christopher N, Woelfel, Joseph A, Patel, Rajul A
Format: Article
Language:English
Subjects:
Activities of daily living
Adult
Aged
Cardiovascular disease
Cerebral Palsy
Chronic illnesses
Correlation
Cost control
Cost Savings
Day Programs
Developmental disabilities
Developmental Disabilities - drug therapy
Developmental Disabilities - economics
Disability
Down Syndrome
Drug Costs
Drug therapy
Drug Use
Epilepsy
Expenditures
Federal Government
Federal Programs
Female
Health care policy
Health Expenditures
Health Insurance
Humans
Insurance Benefits - economics
Insurance coverage
Male
Medicaid
Medical Services
Medicare
Medicare Part D - economics
Medication Therapy Management - economics
Mental Disorders
Middle Aged
Nonprofit organizations
Open Enrollment
Patients
Pilot Projects
Prescription drug plans
Prescription drugs
Prescription Drugs - economics
Resource Centers
Social security
Subsidies
Thinking Skills
United States
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Summary:Nonelderly disabled Medicare beneficiaries have a higher prevalence of chronic conditions, higher utilization of prescription medications, and increased demand for clinical services when compared to beneficiaries 65 years of age and older who are not disabled. Out-of-pocket costs and medication-related problems are major barriers to medication compliance and achievement of therapeutic goals. A school of pharmacy partnered with a nonprofit organization that provides care to individuals with developmental disabilities. The present study highlights outcomes resulting from (a) providing Medicare Part D plan optimization services to lower prescription drug costs and (b) Medication Therapy Management services to evaluate safe and effective medication use in this beneficiary population. Provided interventions were shown to reduce overall medication costs and identify significant medication-related problems.
ISSN:1934-9491
1934-9556
DOI:10.1352/1934-9556-57.3.234