Evaluating the Impact of Medication Risk Mitigation Services in Medically Complex Older Adults
Adverse drug events (ADEs) represent an expensive societal burden that disproportionally affects older adults. Therefore, value-based organizations that provide care to older adults—such as the Program of All-Inclusive Care for the Elderly (PACE)—should be highly motivated to identify actual or pote...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-03-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/10/3/551 |
| _version_ | 1797471244641107968 |
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| author | Hubert Jin Sue Yang David Bankes Stephanie Finnel Jacques Turgeon Alan Stein |
| author_facet | Hubert Jin Sue Yang David Bankes Stephanie Finnel Jacques Turgeon Alan Stein |
| author_sort | Hubert Jin |
| collection | DOAJ |
| description | Adverse drug events (ADEs) represent an expensive societal burden that disproportionally affects older adults. Therefore, value-based organizations that provide care to older adults—such as the Program of All-Inclusive Care for the Elderly (PACE)—should be highly motivated to identify actual or potential ADEs to mitigate risks and avoid downstream costs. We sought to determine whether PACE participants receiving medication risk mitigation (MRM) services exhibit improvements in total healthcare costs and other outcomes compared to participants not receiving structured MRM. Data from 2545 PACE participants from 19 centers were obtained for the years 2018 and 2019. We compared the year-over-year changes in outcomes between patients not receiving (control) or receiving structured MRM services. Data were adjusted based on participant multimorbidity and geographic location. Our analyses demonstrate that costs in the MRM cohort exhibited a significantly smaller year-to-year increase compared to the control (MRM: USD 4386/participant/year [95% CI, USD 3040–5732] vs. no MRM: USD 9410/participant/year [95% CI, USD 7737–11,084]). Therefore, receipt of structured MRM services reduced total healthcare costs (<i>p</i> < 0.001) by USD 5024 per participant from 2018 to 2019. The large majority (75.8%) of the reduction involved facility-related expenditures (e.g., hospital admission, emergency department visits, skilled nursing). In sum, our findings suggest that structured MRM services can curb growing year-over-year healthcare costs for PACE participants. |
| first_indexed | 2024-03-09T19:46:24Z |
| format | Article |
| id | doaj.art-750e55e66cc84901854e3a9184063cee |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-09T19:46:24Z |
| publishDate | 2022-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-750e55e66cc84901854e3a9184063cee2023-11-24T01:23:20ZengMDPI AGHealthcare2227-90322022-03-0110355110.3390/healthcare10030551Evaluating the Impact of Medication Risk Mitigation Services in Medically Complex Older AdultsHubert Jin0Sue Yang1David Bankes2Stephanie Finnel3Jacques Turgeon4Alan Stein5Office of Healthcare Analytics, Tabula Rasa HealthCare, Moorestown, NJ 08057, USAOffice of Healthcare Analytics, Tabula Rasa HealthCare, Moorestown, NJ 08057, USAOffice of Translational Research and Residency Programs, Tabula Rasa HealthCare, Moorestown, NJ 08057, USAOffice of Healthcare Analytics, Tabula Rasa HealthCare, Moorestown, NJ 08057, USAPrecision Pharmacotherapy Research and Development Institute, 13485 Veteran’s Way, Suite 410, Lake Nona, Orlando, FL 32827, USAOffice of Healthcare Analytics, Tabula Rasa HealthCare, Moorestown, NJ 08057, USAAdverse drug events (ADEs) represent an expensive societal burden that disproportionally affects older adults. Therefore, value-based organizations that provide care to older adults—such as the Program of All-Inclusive Care for the Elderly (PACE)—should be highly motivated to identify actual or potential ADEs to mitigate risks and avoid downstream costs. We sought to determine whether PACE participants receiving medication risk mitigation (MRM) services exhibit improvements in total healthcare costs and other outcomes compared to participants not receiving structured MRM. Data from 2545 PACE participants from 19 centers were obtained for the years 2018 and 2019. We compared the year-over-year changes in outcomes between patients not receiving (control) or receiving structured MRM services. Data were adjusted based on participant multimorbidity and geographic location. Our analyses demonstrate that costs in the MRM cohort exhibited a significantly smaller year-to-year increase compared to the control (MRM: USD 4386/participant/year [95% CI, USD 3040–5732] vs. no MRM: USD 9410/participant/year [95% CI, USD 7737–11,084]). Therefore, receipt of structured MRM services reduced total healthcare costs (<i>p</i> < 0.001) by USD 5024 per participant from 2018 to 2019. The large majority (75.8%) of the reduction involved facility-related expenditures (e.g., hospital admission, emergency department visits, skilled nursing). In sum, our findings suggest that structured MRM services can curb growing year-over-year healthcare costs for PACE participants.https://www.mdpi.com/2227-9032/10/3/551Program of All-Inclusive Care for the Elderlyadverse drug eventsmedication-related problemsdrug-related problemspharmacistsmedication safety |
| spellingShingle | Hubert Jin Sue Yang David Bankes Stephanie Finnel Jacques Turgeon Alan Stein Evaluating the Impact of Medication Risk Mitigation Services in Medically Complex Older Adults Healthcare Program of All-Inclusive Care for the Elderly adverse drug events medication-related problems drug-related problems pharmacists medication safety |
| title | Evaluating the Impact of Medication Risk Mitigation Services in Medically Complex Older Adults |
| title_full | Evaluating the Impact of Medication Risk Mitigation Services in Medically Complex Older Adults |
| title_fullStr | Evaluating the Impact of Medication Risk Mitigation Services in Medically Complex Older Adults |
| title_full_unstemmed | Evaluating the Impact of Medication Risk Mitigation Services in Medically Complex Older Adults |
| title_short | Evaluating the Impact of Medication Risk Mitigation Services in Medically Complex Older Adults |
| title_sort | evaluating the impact of medication risk mitigation services in medically complex older adults |
| topic | Program of All-Inclusive Care for the Elderly adverse drug events medication-related problems drug-related problems pharmacists medication safety |
| url | https://www.mdpi.com/2227-9032/10/3/551 |
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