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Medicare Part D Open Enrollment

ADVICE CARE TRUST

If you're 65 or older, make sure the Medicare Part D open enrollment period for 2023 is on your calendar:

October 15 through December 7

What You Need to Know

If you’re 65 or older, make sure Medicare Open Enrollment is on your calendar. It is an important time of year to review your current medical coverage and healthcare needs — and select the most appropriate Medicare plan for the new year. Even if you’re already enrolled in Medicare, it’s still a good idea to review your plan, since coverage — and your health needs — may change from year to year. If you will become eligible for Medicare coverage for the first time in 2023, now is a good time to start learning about the different types of Medicare (i.e., Medicare Part A, Part B, Part C, and Part D), and what this means for you. The open enrollment period for Medicare 2023 begins on October 15, 2022 and ends on December 7, 2022. Here’s what you need to know about Medicare — especially Medicare Part D open enrollment.

  • What is Comprehensive Medication Management (CMM)?
    CMM is a session with a pharmacist to go over in great detail the person’s health and medication routine, including medical history, vaccinations, treatment history (success and failures) with prescriptions, over-the-counter medications, vitamins, supplements, and other therapies. Family history, risk factors, diet, and social history are also collected. The session usually takes about 1 hour, and can be performed at the pharmacy or at the patient's home or office. The pharmacist solicits issues and concerns that the patient is experiencing and also the patient goals for therapy. The pharmacist also obtains information from the physician including a list of diagnoses, therapy goals, laboratory data, diagnostic tests, and patient monitoring. The pharmacist then evaluates the collected information, focusing on pairing conditions and treatments, screening for omissions or duplications of therapy, compliance with evidence-based treatment guidelines, evaluation of treatment and dosing regimens for drug interactions, side effects, patient organ function and metabolism, compliance with treatment regimen, disease state or drug therapy monitoring, disease prevention recommendations, and other relevant considerations. The pharmacist generates a comprehensive report of findings and recommendations. The pharmacist meets with the patient to go over findings and recommendations. This session usually takes 30-minutes. The pharmacist report should also be shared with the patient’s physician(s). ​ For best outcomes, care should be discussed and coordinated between physicians, pharmacists, and patients. Only physicians can modify their patient’s prescription therapy. The pharmacist can provide the physicians with additional information and can work with the physician to help implement treatment changes in the safest manner possible. Not all changes can or should be made immediately. Therapy changes need to be followed carefully since the plan may change based on patient response.
  • How can I benefit from CMM?
    CMM is a review of your entire medication profile that can help identify duplications, omissions, interactions, side effects and other opportunities for optimizing or otherwise improving treatments. As people age, their organ function or metabolism changes and they may develop new health issues. People also often see multiple health care providers that prescribe therapy within their own specific scope of practice, experience acute health events that later resolve, all which can be associated with therapy changes, which in turn should occasion a critical review. Even something as mundane as a change in insurance coverage or formulary creates therapy changes that may affect the overall health of the individual. Ultimately, having a professional that is focused on evaluating the entire treatment profile with an eye on coordination and optimization can be an important asset to someone’s health. The pharmacist can also help identify opportunities for cost savings either through the selection of a different health plan or through therapy changes to generic or preferred therapies.
  • What will I have at the end of the CMM process?
    Written recommendations for the best medication administration timing and techniques. You will also have a road map for medication-related changes or optimizations, which should be discussed with your physician(s). Most changes should be made gradually with follow up and modifications as needed to make sure that desired effects are realized. Recommendations for lifestyle modifications, including diet, social and/or physical activities. A complete and accurate list of your medications to keep on you and to share with all your providers. A better sense of security and control of your medication therapy.
  • How should I prepare for the CMM session?
    Sign consent and release forms to allow the pharmacist to obtain necessary information (e.g. laboratory data, vaccination and medication history) from your physicians or other providers. Bring all your medications (prescription and non-prescription) to the appointment. Collect information on your family history, health history, vaccinations, and other health data. Fill out the Patient Health and History Review (link below) The more complete the information you provide the pharmacist, the more comprehensive their evaluation and findings.

Follow These Steps to Choose the Best Medicare Part D Plan for You

STEP 1

Compare drug services

STEP 2

Compare monthly costs

STEP 3

Compare the deductibles

STEP 4

Compare your copays

Starting in November, we will be able to do the plan evaluation for you at Courtyard Pharmacy.  Schedule a time and come in for your complimentary personalized Medicare Part D plan analysis.

2023 Medicare Part D Changes

Significant changes are coming to Medicare Part D in 2023. In the new year, you can expect increased drug savings and lower premiums, according to the U.S. Centers for Medicare & Medicaid Services (CMS).

However, the biggest changes will be to Medicare Part D deductibles, out-of-pocket costs and copayments.

  • What is Comprehensive Medication Management (CMM)?
    CMM is a session with a pharmacist to go over in great detail the person’s health and medication routine, including medical history, vaccinations, treatment history (success and failures) with prescriptions, over-the-counter medications, vitamins, supplements, and other therapies. Family history, risk factors, diet, and social history are also collected. The session usually takes about 1 hour, and can be performed at the pharmacy or at the patient's home or office. The pharmacist solicits issues and concerns that the patient is experiencing and also the patient goals for therapy. The pharmacist also obtains information from the physician including a list of diagnoses, therapy goals, laboratory data, diagnostic tests, and patient monitoring. The pharmacist then evaluates the collected information, focusing on pairing conditions and treatments, screening for omissions or duplications of therapy, compliance with evidence-based treatment guidelines, evaluation of treatment and dosing regimens for drug interactions, side effects, patient organ function and metabolism, compliance with treatment regimen, disease state or drug therapy monitoring, disease prevention recommendations, and other relevant considerations. The pharmacist generates a comprehensive report of findings and recommendations. The pharmacist meets with the patient to go over findings and recommendations. This session usually takes 30-minutes. The pharmacist report should also be shared with the patient’s physician(s). ​ For best outcomes, care should be discussed and coordinated between physicians, pharmacists, and patients. Only physicians can modify their patient’s prescription therapy. The pharmacist can provide the physicians with additional information and can work with the physician to help implement treatment changes in the safest manner possible. Not all changes can or should be made immediately. Therapy changes need to be followed carefully since the plan may change based on patient response.
  • How can I benefit from CMM?
    CMM is a review of your entire medication profile that can help identify duplications, omissions, interactions, side effects and other opportunities for optimizing or otherwise improving treatments. As people age, their organ function or metabolism changes and they may develop new health issues. People also often see multiple health care providers that prescribe therapy within their own specific scope of practice, experience acute health events that later resolve, all which can be associated with therapy changes, which in turn should occasion a critical review. Even something as mundane as a change in insurance coverage or formulary creates therapy changes that may affect the overall health of the individual. Ultimately, having a professional that is focused on evaluating the entire treatment profile with an eye on coordination and optimization can be an important asset to someone’s health. The pharmacist can also help identify opportunities for cost savings either through the selection of a different health plan or through therapy changes to generic or preferred therapies.
  • What will I have at the end of the CMM process?
    Written recommendations for the best medication administration timing and techniques. You will also have a road map for medication-related changes or optimizations, which should be discussed with your physician(s). Most changes should be made gradually with follow up and modifications as needed to make sure that desired effects are realized. Recommendations for lifestyle modifications, including diet, social and/or physical activities. A complete and accurate list of your medications to keep on you and to share with all your providers. A better sense of security and control of your medication therapy.
  • How should I prepare for the CMM session?
    Sign consent and release forms to allow the pharmacist to obtain necessary information (e.g. laboratory data, vaccination and medication history) from your physicians or other providers. Bring all your medications (prescription and non-prescription) to the appointment. Collect information on your family history, health history, vaccinations, and other health data. Fill out the Patient Health and History Review (link below) The more complete the information you provide the pharmacist, the more comprehensive their evaluation and findings.
stethoscope-with-different-pharmaceutica

Please do not hesitate to contact us if we can be of any assistance with Medicare Enrollment

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