BlueCross Links Members With Pharmacists For Improved Medication Management

Thursday, March 6, 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.

Chattanooga Tri Delta Alumnae Chapter Raises $1,262 For Children's Hospital

The Chattanooga Tri Delta Alumnae Chapter raised $1,262 for the Believe Campaign for the Children’s Hospital at Erlanger during an event at the Flying Squirrel Bar on June 8.   The Chattanooga Tri Delta Alumnae chapter chose the Children’s Hospital as their philanthropy earlier this year. In 1999, Tri Delta formed a national philanthropic partnership with St. Jude Children’s ... (click for more)

UT Medical School Stops Using Live Animals For Training; Makes Switch To Human-Relevant Methods

The Physicians Committee for Responsible Medicine—the nonprofit representing more than 12,000 physicians—announces that all surveyed medical schools in the United States and Canada no longer use animals for medical training. The University of Tennessee, the last remaining school to use animals, now joins all other programs in the United States and Canada in using human-relevant ... (click for more)

Spiegel Says Walker County Could Make Payments On $8,705,000 Hutcheson Debt; James Says Letter is Heavy-Handed

Erlanger Health System CEO Kevin Spiegel has written Walker County Commissioner Bebe Heiskell to say that Erlanger would consider taking payments on the $8,705,000 Hutcheson debt. Stuart James, special counsel for Walker County, called the overture "heavy-handed." Walker County earlier offered a $1.3 million "global settlement" that was rejected by Erlanger. Catoosa County ... (click for more)

Customer At East Ridge Gas Station Shoots And Kills Robber; He Had Been Trying To Take Female Clerk With Him

East Ridge Police said a customer at an East Ridge gas station early Thursday morning shot a robber, who was then found by police lying outside the station and was arrested.  The robber has died.  His name is being withheld pending the notification of next of kin. At 1:47 a.m., East Ridge Police responded to 4011 Ringgold Road, the Marathon Service Station, on ... (click for more)

A Disturbing Trend At Exit 11 - And Response (6)

So, am I the first to notice a trend?   How many wrecks does exit 11 need before anyone asks "whats up with that?"  I have lost count of the wrecks that continue to happen, even after last year's awful loss of life (which I believe 51 percent of the blame should fall on the THP officer on duty).  The problem with this section of interstate are sight lines ... (click for more)

Roy Exum: My Garden This July

I can never remember a day in July when my garden, my lawn, my dogwood tree, and my ferns are all wilting for lack of rain. Right now we are more than eight inches under our average rainfall for the first six months and, on this wonderful weekend, those who love firecrackers are urged to keep a pail of water in case a spark could cause a fire. On the other hand, every July 4 th ... (click for more)