Impact of provider mailings on medication adherence by Medicare Part D members

Bijan J Borah, Yang Qiu, Nilay D Shah, Patrick P. Gleason

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background: The Medicare 5-Star Rating System measures and provides incentive for improving Medicare Part D plans through a quality-based payment program. Adherence to medications for chronic conditions is key to the Star ratings. Our objective was to assess the impact of direct-to-provider letters on improving medication adherence. Methods: Members of a large US pharmacy benefits manager (PBM) who did not adhere to prescription of oral diabetes (antidiabetics), cholesterol-reducing (statins), or hypertension (renin angiotensin system [RAS] antagonists) drug therapy were identified from the prescriptions claims data of>600,000 continuously enrolled Medicare members. Nonadherence was defined by the Star ratings definition of proportion of days covered (PDC)

Original languageEnglish (US)
JournalHealthcare
DOIs
StateAccepted/In press - Nov 5 2014

Fingerprint

Medicare Part D
Medication Adherence
Medicare
Prescriptions
Hydroxymethylglutaryl-CoA Reductase Inhibitors
Renin-Angiotensin System
Hypoglycemic Agents
Motivation
Cholesterol
Hypertension
Drug Therapy

Keywords

  • Medicare Part D prescription plan
  • Medicare Star Rating System
  • Medication adherence
  • Prescriber mailing
  • Proportion of days covered

ASJC Scopus subject areas

  • Health Policy

Cite this

Impact of provider mailings on medication adherence by Medicare Part D members. / Borah, Bijan J; Qiu, Yang; Shah, Nilay D; Gleason, Patrick P.

In: Healthcare, 05.11.2014.

Research output: Contribution to journalArticle

@article{2b24e63e707649ebb3be9dbffa137940,
title = "Impact of provider mailings on medication adherence by Medicare Part D members",
abstract = "Background: The Medicare 5-Star Rating System measures and provides incentive for improving Medicare Part D plans through a quality-based payment program. Adherence to medications for chronic conditions is key to the Star ratings. Our objective was to assess the impact of direct-to-provider letters on improving medication adherence. Methods: Members of a large US pharmacy benefits manager (PBM) who did not adhere to prescription of oral diabetes (antidiabetics), cholesterol-reducing (statins), or hypertension (renin angiotensin system [RAS] antagonists) drug therapy were identified from the prescriptions claims data of>600,000 continuously enrolled Medicare members. Nonadherence was defined by the Star ratings definition of proportion of days covered (PDC)",
keywords = "Medicare Part D prescription plan, Medicare Star Rating System, Medication adherence, Prescriber mailing, Proportion of days covered",
author = "Borah, {Bijan J} and Yang Qiu and Shah, {Nilay D} and Gleason, {Patrick P.}",
year = "2014",
month = "11",
day = "5",
doi = "10.1016/j.hjdsi.2016.02.004",
language = "English (US)",
journal = "Healthcare",
issn = "2213-0764",
publisher = "Elsevier BV",

}

TY - JOUR

T1 - Impact of provider mailings on medication adherence by Medicare Part D members

AU - Borah, Bijan J

AU - Qiu, Yang

AU - Shah, Nilay D

AU - Gleason, Patrick P.

PY - 2014/11/5

Y1 - 2014/11/5

N2 - Background: The Medicare 5-Star Rating System measures and provides incentive for improving Medicare Part D plans through a quality-based payment program. Adherence to medications for chronic conditions is key to the Star ratings. Our objective was to assess the impact of direct-to-provider letters on improving medication adherence. Methods: Members of a large US pharmacy benefits manager (PBM) who did not adhere to prescription of oral diabetes (antidiabetics), cholesterol-reducing (statins), or hypertension (renin angiotensin system [RAS] antagonists) drug therapy were identified from the prescriptions claims data of>600,000 continuously enrolled Medicare members. Nonadherence was defined by the Star ratings definition of proportion of days covered (PDC)

AB - Background: The Medicare 5-Star Rating System measures and provides incentive for improving Medicare Part D plans through a quality-based payment program. Adherence to medications for chronic conditions is key to the Star ratings. Our objective was to assess the impact of direct-to-provider letters on improving medication adherence. Methods: Members of a large US pharmacy benefits manager (PBM) who did not adhere to prescription of oral diabetes (antidiabetics), cholesterol-reducing (statins), or hypertension (renin angiotensin system [RAS] antagonists) drug therapy were identified from the prescriptions claims data of>600,000 continuously enrolled Medicare members. Nonadherence was defined by the Star ratings definition of proportion of days covered (PDC)

KW - Medicare Part D prescription plan

KW - Medicare Star Rating System

KW - Medication adherence

KW - Prescriber mailing

KW - Proportion of days covered

UR - http://www.scopus.com/inward/record.url?scp=84958581884&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84958581884&partnerID=8YFLogxK

U2 - 10.1016/j.hjdsi.2016.02.004

DO - 10.1016/j.hjdsi.2016.02.004

M3 - Article

C2 - 27637828

AN - SCOPUS:84958581884

JO - Healthcare

JF - Healthcare

SN - 2213-0764

ER -