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Blacks, Hispanics Less Likely Eligible for Medicare Prescription Help



Medicare’s Part D prescription medication management program, also known as Medication Therapy Management, could be off limits to some of the patients who need it most — older African-Americans and Hispanics — a new study finds.

Medicare introduced the program, Medication Therapy Management or MTM, in 2006 as part of the Part D prescription drug program. MTM provides face-to-face counseling, phone consultation or consultations by mail with pharmacists or other health care providers to help people with chronic illness resolve problems with taking medications. The goal is to improve patient health, reduce costs and minimize side effects.

In 2010, to be eligible for the program, a person must be enrolled in the Medicare Part D drug program, have at least three chronic health conditions, take eight or more medications covered by Part D and spend at least $3,000 yearly on the medications.

Researchers led by Junling Wang, Ph.D., at the University of Tennessee College of Pharmacy looked at data to see whether African-Americans, Hispanics or whites equally would be apt to meet these eligibility criteria.

“We suspected there might be potential problems related to eligibility criteria for minorities since historically racial and ethnic minorities tend to use fewer medications and they tend to incur lower prescription drug costs,” Wang said. This is despite the fact that minority groups are at higher risk than whites for developing many serious chronic diseases, such as diabetes and heart disease.

The study appears online in the journal Health Services Research.

The researchers found that African-Americans would be up to 34 percent less likely to meet MTM eligibility than whites and that Hispanics would be up to 38 percent less prone to meet eligibility requirements. This pattern held even in those patients with severe health problems.

The findings are important, Wang said, because other health agencies and private insurers often adopt Medicare policies. She also said that recent changes in policies to improve health care quality have not been very effective in reducing racial and ethnic disparities.

“In fact, sometimes these policies have really widened the disparity gap. Minorities historically have different patterns of medication utilization from the majority population. If we don’t take those differences into consideration, minorities will lag behind,” she said.

“You have to be on a lot of drugs or some pretty expensive medications to qualify for MTM services,” said Marissa Schlaifer, pharmacy affairs director at the Academy of Managed Care Pharmacy. “This study does remind us that those people who are not on medications they need are less likely to qualify for MTM services,” because the determining factors are being on multiple drugs and having high drug costs. “People who aren’t getting the drugs they need are just as much in need of MTM services as people who are getting too many drugs.”


Health Services Research is the official journal of the AcademyHealth and is published by John Wiley & Sons, Inc. on behalf of the Health Research and Educational Trust. For information, contact Jennifer Shaw, HSR Business Manager at (312) 422-2646 or jshaw@aha.org. HSR is available online at www.blackwell-synergy.com/loi/hesr.

 

HEALTH HAZARDS IN YOUR MEAT:

Discussion Forum

Regeneration: Rules for Revolutionaries

Started by Universal Divine Being AUSET May 16. 0 Replies

“Our common planet and governing system are fast approaching the point of no return. We must unite to protest and resist the out-of-control corporations and politicians that are degenerating our…Continue

Tags: Revolutionaries, for, Rules, Regeneration:

THE BEST WAY TO HATE A NIGGER IS TO HATE THEM BEFORE THEY ARE BORN.

Started by Universal Divine Being AUSET. Last reply by Universal Divine Being AUSET Apr 25. 2 Replies

MARGARET SANGER BLACK GENOCIDE -apes men and morons-The Negro problem-Decreasing negro Population. An American Dilema-THE BEST WAY TO HATE A NIGGER IS TO HATE THEM BEFORE THEY ARE BORN. video…Continue

Tags: BLACKS, CONTROL, BIRTH

Google SEARCH: DID MONSANTO BUY OUT WHOLEFOOD STORES?

Started by WACP101 - AGRI-CULINARY Apr 9. 0 Replies

ANSWER:You would think that a big story such as this would be heavily reported — Monsanto, a leading producer of genetically engineered seeds, buying out Whole Foods, a certified organic grocer — so…Continue

Tags: OUT, WHOLEFOOD, STORES?, BUY, MONSANTO

Critics weigh in on bill seeking genetic information of workers. Dna test for work.

Started by Universal Divine Being AUSET Apr 4. 0 Replies

Concern is growing over a bill that would let companies request genetic testing and effectively charge employees more for health insurance if they refuse. The bill aims to clarify rules for workplace…Continue

Tags: workers., of, Dna, test, work.

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Comment by ENU on August 31, 2016 at 1:59pm

Black vs African - The Identity Crisis (The Shocking Truth) Pt. 1

Some say it doesn't matter how we identify ourselves. This video will educate us on the importance of having a credible identity as a people and it will also explain the difference between being Pro Black vs Pan African. For years we've been miseducated about our true identity and it is because of this why we lack unity and nationhood. We can put an end to global white supremacy by simply uniting as a people but we fail to unite due to our ignorance of who we truly are. We must not be anything other than what we truly are because our true purpose is directly linked to our true identity.

https://youtu.be/2aXQ1ZNMfOs

Comment by ENU on August 19, 2016 at 11:07am

 THANK YOU MY SISTER FOR THE GREAT NEWS SOURCE. PEACE & LOVE

http://www.goodgopher.com/SearchResults.asp?query=TruthWiki.org&...

Comment by ENU on August 18, 2016 at 10:19pm

"THE BLACKS" ARE TARGETED BY THE MEDICAL SHYTSTEM
https://youtu.be/V6rtLsThkvs

Comment by ENU on August 13, 2016 at 8:55pm

Brother Sutek The Man & The Mission, Racism : White Supremacy

https://youtu.be/nHtcDzN1oM0

Comment by ENU on August 12, 2016 at 6:23pm

Funds, Owns and Patents the Zika Virus! ACTUAL PROOF!!!

https://youtu.be/F3bmEB125_U

 

Comment by Kamal Imani on June 6, 2016 at 7:16am

Please research "Hemohim" which was created by the Korean Atomic Energy agency in conjunction with Kolmar to assist scientist in fighting cancer while working on projects. There is also a money making component to it which is hassle free.

Our community supports Korean merchants in our communities.
Now a dynamic group of South Koreans are inviting us to do business with them. In a short amount of time, my family has achieved a great deal of success working with them, Why? Because with Atomy you purchase daily essential products from yourself/business that you would otherwise buy from the grocery or chain store, but when you purchase from yourself/business you eventually receive residual income, "profit sharing" checks. It's that easy!

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Comment by Connecting the Dots on November 6, 2015 at 1:23pm

This evening on 'Connecting the Dots' at Harambeeradio.com from 7PM to 9PM EST "Autism: Changing Social Constructs, Changing Families and Changing Lives" Maybe it is time that we face the critical reality that we have no independent scientist, no independent research institutions that can assist us in addressing this pandemic. We found out last year that the CDC (Center for Disease Control) has institutionally hidden the fact the African-American boys before the age of 36 months had a 360% greater increase in being diagnosed with Autism when receiving the MMR (Measles, Mumps, Rubella) vaccine. But yet our collective response has been so paltry. We will examine possible causes of this pandemic, what the science is pointing to. And examine its impact on the African diaspora now and in the future. We have more so-called educated professionals (scientist, doctors, researchers, etc.) than any other time since being in this morass but yet nothing has changed. In fact it is getting worse. 

Comment by Sarah Boone on September 18, 2014 at 8:04pm

Comment by Matrixx on October 16, 2013 at 4:05pm

Here is the truth simply stated , you are what YOU eat it is your download watch http://youtu.be/e7hxHRgOqCo this could be so simple , why do you think they do not want you to grow your own food ? because first of all it would cost you pennys on the Dollar you would become more conscious as to what is really going on clear thinking , better health longevity ! but NO you are given artificial Man made chemicals , instead of Natural healing and herbs . it's all about Money $$$ , control wake up you have all been taught in our SCHOOLS by EUROPEANS figure it out DECEPTION , every where you go they place their people in charge every Tv commercial always shows them , Magazine covers Favor them  WAKE UP !

Comment by Matrixx on October 1, 2013 at 8:31am

The cure for Cancer , Diabetes, Lupus  here this is why they do not want YOU to grow your own right in your back yard L@@K You can go to my Blog and get all the info you need just ask I am here to help  http://youtu.be/90fQss8OL9Q Go here for your free farm to Fridge Dvd pictured  on me ! www.Matrixx.VPweb.com

 

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