Pharmacy participation and claim characteristics in the wisconsin medicaid pharmaceutical care program from 1996 to 2007

Journal of Managed Care Pharmacy

Volumn 18, Issue 2, 2012, Pages 116-128

  Look, Kevin A ^a   Mott, David A ^a   Leedham, Robert K ^a   Kreling, David H ^a   Hermansen Kobulnicky, Carol J ^b  

^a UNIVERSITY OF WISCONSIN MADISON   (United States)

^b UNIVERSITY OF WYOMING SCHOOL OF PHARMACY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; BILLING AND CLAIMS; DESCRIPTIVE RESEARCH; DRUG CHOICE; HEALTH PROGRAM; HUMAN; LONGITUDINAL STUDY; MEDICAID; PHARMACEUTICAL CARE; PHARMACIST; PHARMACY; RETROSPECTIVE STUDY; UNITED STATES;

EID: 84860745099     PISSN: 10834087     EISSN: None     Source Type: Journal    
DOI: 10.18553/jmcp.2012.18.2.116     Document Type: Article

References (26)

1. Chrischilles EA, Carter BL, Lund BC, et al. Evaluation of the Iowa Medicaid pharmaceutical case management program. J Am Pharm Assoc (2003). 2004;44(3):337-49.
2. Christensen DB, Holmes GW. Payment of pharmacists for cognitive services: results of the Washington CARE Demonstration Project. HCFA Contract No. 11-C-90229. State of Washington Medical Assistance Administration and University of Washington School of Pharmacy. December 1996. Available at: http://aspe.hhs.gov/pic/pdf/6528.pdf. Accessed January 6, 2012.
3. Christensen DB, Roth M, Trygstad T, Byrd J. Evaluation of a pilot medication therapy management project within the North Carolina State Health Plan. J Am Pharm Assoc (2003). 2007;47(4):471-83.
4. Barnett MJ, Frank J, Wehring H, et al. Analysis of pharmacist-provided medication therapy management (MTM) services in community pharmacies over 7 years. J Manag Care Pharm. 2009;15(1):18-31. Available at: http://www.amcp.org/data/jmcp/018-031.pdf.
5. Ramalho de Oliveira D, Brummel AR, Miller DB. Medication therapy management: 10 years of experience in a large integrated health care system. J Manag Care Pharm. 2010;16(3):185-95. Available at: http://www.amcp.org/data/jmcp/185-195.pdf.
6. Gillard M, Whitmore SC. The Wisconsin Medicaid Pharmaceutical Care Project; Part I. Wisconsin Pharmacist. 1996;May/June:7-14.
7. Hogue MD, Whitmore SC. The Wisconsin Medicaid Pharmaceutical Care Project. Wisconsin Pharmacist. 1997;March/April:5-9.
8. Wisconsin Department of Health Services. ForwardHealth. Covered and noncovered services: pharmaceutical care. Available at: https://www.forwardhealth.wi.gov/WIPortal/Online%20Handbooks/Display/tabid/152/Default.aspx?ia=1&p=1&sa=48&s=2&c=344. Accessed January 5, 2012.
9. Centers for Medicare and Medicaid Services. Medicaid statistical information system (MSIS) tables. Available at: https://www.cms.gov/MedicaidDataSourcesGenInfo/MSIS/list.asp. Accessed January 5, 2012.
10. The National Pharmaceutical Council. Pharmaceutical Benefits Under State Medical Assistance Programs, 1998. Reston, VA: National Pharmaceutical Council; 1998.
11. The National Pharmaceutical Council. Pharmaceutical Benefits Under State Medical Assistance Programs, 1999. Reston, VA: National Pharmaceutical Council; 1999.
12. Gad A. Wisconsin briefs from the Legislative Reference Bureau: SeniorCare. Brief 05-9. September 2005. Available at: http://legis.wisconsin.gov/lrb/pubs/wb/05wb9.pdf. Accessed January 5, 2012.
13. Wisconsin Department of Health Services. SeniorCare: prescription drugs for Wisconsin seniors. What is SeniorCare? Revised November 22, 2011. Available at: http://www.dhs.wisconsin.gov/seniorcare/factsheets/p10078.htm. Accessed January 5, 2012.
14. Wisconsin Department of Health and Family Services. Pharmacy: drug utilization review and pharmaceutical care. July 2001. Available at: https://www.forwardhealth.wi.gov/kw/pdf/pharmacy_dur.pdf. Accessed January 5, 2012.
15. Mott DA, Kreling DH, Hermansen-Kobulnicky CJ, Chou C. Medicaid pharmaceutical care program: pharmacy participation and the characteristics of claims submitted. J Pharm Soc Wis. 2005;March/April:12-16. Available at: http://www.pswi.org/communications/journal/2005/Medicaid%20Pharma%20Care%20Program.pdf. Accessed January 5, 2012.
16. Mott DA, Kreling DH. 2007 Wisconsin pharmacist compensation survey: summary of pay, hours, hours worked, and fringe benefits for practicing pharmacists. J Pharm Soc Wis. 2008;September/October:11-17. Available at: http://www.pswi.org/communications/journal/2008/Compensation%20survey.pdf. Accessed January 5, 2012.
17. Christensen DB, Neil N, Fassett WE, Smith DH, Holmes G, Stergachis A. Frequency and characteristics of cognitive services provided in response to a financial incentive. J Am Pharm Assoc (Wash). 2000;40(5):609-17.
18. Farris KB, Kumbera P, Halterman T, Fang G. Outcomes-based pharmacist reimbursement: reimbursing pharmacists for cognitive services part 1. J Manag Care Pharm. 2002;8(5):383-93. Available at: http://www.amcp.org/data/jmcp/Contemporary%20Subjects-383-393.pdf.
19. Fera T, Bluml BM, Ellis WM. Diabetes Ten City Challenge: final economic and clinical results. J Am Pharm Assoc (2003). 2009;49(3):383-91.
20. Look KA, Mott DA, Kreling DH, Hermansen-Kobulnicky CJ, Leedham RK. Characteristics of pharmacies participating in the Wisconsin Medicaid Pharmaceutical Care Program from 1996 to 2007. Paper presented at: Midwest Social and Administrative Pharmacy Conference; July 2010; Iowa City, IA.
21. Look KA, Mott DA, Kreling DH, Peterson EJ, Staresinic AG. Economic impact of pharmacist-reimbursed drug therapy modification. J Am Pharm Assoc (2003). 2011;51(1):58-64.
22. Carroll NV. Therapeutic interchange in community pharmacies in Virginia. Am J Health Syst Pharm. 2000;57(9):882-86.
23. American Medical Association. The resource based relative value scale: overview of the RBRVS. Available at: http://www.ama-assn.org/ama/pub/physician-resources/solutions-managing-your-practice/coding-billing-insurance/medicare/the-resource-based-relative-value-scale/overview-of-rbrvs.shtml. Accessed January 5, 2012.
24. Centers for Medicare and Medicaid Services. Medicaid managed care enrollment report. 2010. Available at: https://www.cms.gov/MedicaidDataSourcesGenInfo/04_MdManCrEnrllRep.asp. Accessed January 5, 2012.
25. The Lewin Group. Medicaid managed care cost savings-a synthesis of 24 studies. Prepared for: America's health insurance plans. July 2004, updated March 2009. Available at: http://blogs.chicagotribune.com/files/lewinmedicaid.pdf. Accessed January 5, 2012.
26. Herz EJ. Medicaid managed care: an overview and key issues for Congress. CRS Report for Congress. 2006. Available at: http://congressionalresearch.com/RL33711/document.php?study=Medicaid+Managed+Care+An+Overview+and+Key+Issues+for+Congress. Accessed January 5, 2012.