A Rising Tide Lifts All Boats: The Minnesota Model for MTM Services

Session Description: We propose to deliver a panel discussion or breakout session to discuss the Minnesota model for delivering MTM services to our members. The session will touch on how plans may rethink how they deliver required MTM services in the Medicare PartD programs - moving away from the traditional "closed-system" where service providers are required to utilize a specific documentation platform to allow the plan sponsor to deliver a compliant PartD MTM program. In light of significant changes to the Medicare PartD MTM program, this model may equip PartD Plan Sponsors with a new way to approach delivery of MTM services. Our presenters will discuss the benefits of building a network of local pharmacists to deliver MTM services and allowing the network to utilize the documentation platform of their choice utilizing a continuity of care document. After introducing the idea, the 3 MN health plans will describe how we accomplished building a network, developing the infrastructure to consume and report on clinical information from our network, and how we worked together to align on delivering services and administering our programs. We'll conclude by sharing results of our programs.