Medication Therapy Management

Added: Aug 04, 2016 8:40 am This is a non-personal services contract to provide for a Military Health System (MHS) implementation of a Medication Therapy Management (MTM) solution. The Government shall not exercise any supervision or control over the contract service providers performing the services herein. Such contract service providers shall be accountable solely to the Contractor who, in turn is responsible to the Government.

The National Defense Authorization Act of 2015: Section 726 directs a pilot program to assess MTM under the TRICARE program. This contract will focus on the section of the pilot delivering care outside the Military Treatment Facilities. The pilot program will focus on improving patient use and outcomes of prescription medications for eligible TRICARE beneficiaries, to include TRICARE for Life beneficiaries. Hereafter, they will be referred to as beneficiaries. Per NDAA 2015, Section 726, the pilot will include beneficiaries with more than one chronic medical condition and taking more than one medication. The program office has decided to focus on enrolling beneficiaries with 3 or more chronic medical conditions in order to focus MTM services on the population most likely to benefit. The pilot will run for not less than two years. The Defense Health Agency (DHA) Pharmacy Operations Division (POD) will identify patients meeting MTM pilot criteria in the catchment area and provide a list with contact information to the Contractor. A process will be established to securely communicate patient health information between DHA POD and the Contractor. To assess the feasibility and desirability of including MTM as part of the TRICARE benefit, DHA POD will centrally monitor the benefit of services as measured by: per member per month total healthcare costs, per member per month pharmacy costs, utilization of healthcare services (e.g. emergency room visits, hospitalizations and provider visits), medication adherence and relevant biomarkers (e.g. hemoglobin A1c, cholesterol panel, blood pressure, etc.).