Given the potential benefits of pharmacist-led MTM,
evaluating its feasibility and sustainability is important. In a
retrospective, cross-sectional study, Look and colleagues examined
the fiscal aspects of MTM services, finding that the
return on investment of an MTM session was $20.31 per patient
for a new prescription and $14.76 for a refill, with the
overall mean return on investment to the pharmacy benefit
manager (PBM) being $3.55.2 This demonstrates that while
the priority of MTM programs remains providing health benefits
to patients, MTM is also fiscally beneficial—a notable
achievement in the current healthcare climate, influenced
by the Affordable Care Act, which has sharpened
the focus on outpatient programs that can prevent
negative patient outcomes and hospitalizations. As
such, CMS has supported MTM services to help provide
optimal outcomes for patients. CMS created the
Star program to evaluate performance measures in
relation to Medicare Part D programs