April 1st, 2015
Enactment of the Medicare Part D Prescription Drug Program in 2003 led to the creation of the first medication adherence quality improvement goals of truly national import. But one gaping problem remains: the failure of many patients to secure and take medications when they are first prescribed — the “first fill” that never happens.
Recent research confirms that rates of failure to secure a first dose of newly prescribed medications in major chronic disease categories are disturbingly high. Indeed, the failure rates in community-based settings (at community pharmacies, for example) range from 22 to 28 percent. Substantial rates of failure (15 to 26 percent) have even been found among highly integrated health care systems that often feature in-house pharmacies.
And so, just as payment reforms are pushing providers towards accountability for safe and appropriate treatment and good patient outcomes, particularly among the chronically ill, a significant proportion of patients are walking away from their provider’s office with sound, evidence-based orders for new medication therapy … but they never pick up the medicine.Read the rest of this entry »