TY - JOUR
T1 - Initial medication adherence in the elderly using pace claim reversals
T2 - A pilot study
AU - Forestal, Doris A.
AU - Klaiman, Tamar A.
AU - Peterson, Andrew M.
AU - Heller, Debra A.
N1 - Publisher Copyright:
© 2016, Academy of Managed Care Pharmacy. All rights reserved.
PY - 2016
Y1 - 2016
N2 - BACKGROUND: The Medicare Modernization Act, with its requirements for Medicare Part D to comply with electronic prescribing (e-prescribing), bolstered the adoption of e-prescribing, which increased to 73[%] in 2013. Therefore, understanding whether electronic prescriptions are less likely to be picked up is important as e-prescribing continues to be emphasized. OBJECTIVE: To assess whether prescription origin is among the factors associated with initial medication adherence, using claim reversals as a proxy measure. METHODS: A cross-sectional study was completed using a sample of reversed claims from the Pharmaceutical Assistance Contract for the Elderly (PACE) program for September 2014. The total number of reversed claims for new prescriptions (15,966) was categorized by prescription origin (written, telephone, electronic, fax, and pharmacy). Using a chi-square analysis, the reversed claims were compared among prescription origin to determine if there is a difference in the proportion of electronic prescriptions reversed compared with those from other origins. RESULTS: When compared with all other prescription origins, electronic prescriptions (E) were more likely to be reversed at day 0 (E = 50[%], any other [[]AO] = 49[%], P < 0.05) and after day 0 (E = 58[%], AO = 42[%], P < 0.05). CONCLUSIONS: Electronic prescriptions are associated with a higher rate of claim reversals and may reflect poorer initial adherence. Electronic prescriptions may more likely be forgotten or not picked up because they were not presented to the pharmacy by the patient. The growing adoption of electronic prescriptions merits particular attention, since it may be a factor in initial medication adherence in the elderly.
AB - BACKGROUND: The Medicare Modernization Act, with its requirements for Medicare Part D to comply with electronic prescribing (e-prescribing), bolstered the adoption of e-prescribing, which increased to 73[%] in 2013. Therefore, understanding whether electronic prescriptions are less likely to be picked up is important as e-prescribing continues to be emphasized. OBJECTIVE: To assess whether prescription origin is among the factors associated with initial medication adherence, using claim reversals as a proxy measure. METHODS: A cross-sectional study was completed using a sample of reversed claims from the Pharmaceutical Assistance Contract for the Elderly (PACE) program for September 2014. The total number of reversed claims for new prescriptions (15,966) was categorized by prescription origin (written, telephone, electronic, fax, and pharmacy). Using a chi-square analysis, the reversed claims were compared among prescription origin to determine if there is a difference in the proportion of electronic prescriptions reversed compared with those from other origins. RESULTS: When compared with all other prescription origins, electronic prescriptions (E) were more likely to be reversed at day 0 (E = 50[%], any other [[]AO] = 49[%], P < 0.05) and after day 0 (E = 58[%], AO = 42[%], P < 0.05). CONCLUSIONS: Electronic prescriptions are associated with a higher rate of claim reversals and may reflect poorer initial adherence. Electronic prescriptions may more likely be forgotten or not picked up because they were not presented to the pharmacy by the patient. The growing adoption of electronic prescriptions merits particular attention, since it may be a factor in initial medication adherence in the elderly.
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U2 - 10.18553/jmcp.2016.22.9.1046
DO - 10.18553/jmcp.2016.22.9.1046
M3 - Article
C2 - 27579826
AN - SCOPUS:84990923809
VL - 22
SP - 1046
EP - 1050
JO - Journal of managed care & specialty pharmacy
JF - Journal of managed care & specialty pharmacy
SN - 2376-0540
IS - 9
ER -