BlueCross Links Members With Pharmacists For Improved Medication Management

Thursday, March 06, 2014

Helping members with multiple health conditions effectively manage medications is the goal of a new Medication Therapy Management program offered through BlueCross BlueShield of Tennessee’s Medicare Advantage plans. The program links members with local pharmacists who provide a program to ensure safe and effective use of medication in accordance with standards set forth by the Centers for Medicare & Medicaid Services.

BlueCross’ program, delivered through OutcomesMTM, provides one-on-one medication management to high-risk members - those with three or more chronic health conditions requiring multiple medications. Key to the program is an annual comprehensive medication review to detect and resolve any issues with the patient’s prescription and over-the-counter medications, said officials. As part of the review, the patient receives private consultation on existing regimen, a medication action plan and a personalized drug list.

The MTM program also provides alerts to pharmacists when the patient starts a medication with high risk of causing side effects. Additionally, patients who have difficulty with taking their medications on time receive special counseling to help them manage their drug treatments. 

Adults ages 65 and older make more than 177,000 emergency department visits each year for adverse medication interactions. They are also seven times more likely to be hospitalized after the emergency visit than other age groups, according to the Centers for Disease Control and Prevention.

“Partnering with local pharmacists lets us offer a personalized and focused plan of care for a member’s specific medication therapy management needs,” said Elaine Manieri, vice president of pharmacy management for BlueCross. “With the oversight of a local pharmacist, members will be much more knowledgeable about what they’re prescribed and how they can improve their health and quality of life by taking medication correctly.” 

OutcomesMTM provides regular updates to pharmacists letting them know when a member starts a new medication and needs education and follow-up. Pharmacists confer with the member or his/her doctor to resolve issues found with the member’s medication. Additionally, pharmacists will also confer with the member on over-the-counter medicines for minor ailments.

Pharmacists who participate in the OutcomesMTM program complete special training to provide medication management services to BlueCross’ members. The program is a free benefit covered in BlueCross’ Medicare Advantage plans.

Free Workshops Help Explain Health Insurance Terms

Medical Foundation of Chattanooga states that unfamiliarity with health insurance coverage can often cause many questions for patients and families. With new policies developed through the Affordable Care Act and “traditional” policies obtained through employers, confusion often happens in understanding benefits and the meaning of various terms. To help work through the confusion, ... (click for more)

Erlanger Hosts “First Responders” And “Strike Out Stroke” Nights At Upcoming Lookouts Games

Erlanger will recognize emergency medical service personnel and other rescue and medical agencies for “First Responder Night” at the Lookouts game on Friday, Aug. 29, beginning at 7:15 p.m.  In recognition of Erlanger’s partnership with the region’s first responders and 25 years as the region’s only Level 1 Trauma Center, Erlanger welcomes Lookout fans to take part in ... (click for more)

5 Hamilton County Schools Designated As Priority Schools, 3 As Focus Schools

Five Hamilton County Schools have been designated as Priority Schools and three as Focus Schools. Priority Schools are the five percent of schools across the state with the lowest overall performance. Those from Hamilton County are Brainerd High School, Dalewood Middle School, Orchard Knob Elementary School, Orchard Knob Middle School and Woodmore Elementary School. Focus ... (click for more)

Teen Shot Twice On Wilson Street; He Won't Help Police

A teen who was shot twice on Wilson Street shortly after midnight said he would not help police. At approximately 12:08 a.m., Chattanooga Police responded to a call of a person shot at 1812 Wilson St. Chattanooga Police officers and EMS located Nathaniel Williams, 18, suffering from two non-life threatening gunshot wounds.  The victim was transported to Erlanger Hospital ... (click for more)

The Truth About Justice

The rallying cry in Ferguson Missouri has been "justice for Michael Brown." The question is what is justice? Justice is that the facts of the case are investigated thoroughly and regardless of the outcome of that investigation the family and friends of Michael Brown along with the citizens of Ferguson and this country need to accept the outcome no matter what it reveals.  ... (click for more)

Roy Exum: Chief Delmore: ‘You Blew It!”

Far more than 50,000 people, most police officers and law enforcement authorities, have gone to a website, “LawOfficer.com” to read a scathing letter that first appeared on Sunday. Veteran lawman Ed Delmore, who became the Police Chief in Gulf Shores, Ala., after a brilliant career as the “Top Cop” in St. Louis (which he still loves) has written what was entitled, “An Open Letter ... (click for more)