VIable

NDHI
NAT IONAL DIALOGUE FOR
Healthcare Innovation
OutcomesMTM
Organization Overview
• Cardinal Health is a global, integrated healthcare
services and products company
• The company offers cost-effective solutions to
enhance supply chain efficiency, connecting stakeholders
across the care continuum
• OutcomesMTM, a Cardinal Health company, leads
the nation in the design and implementation of
Medication Therapy Management (MTM) programs
Background
In the United States, costs from medication-related
problems are as high as $300 billion annually. Better
medication use means lower use of unnecessary
healthcare services and healthier patients.
OutcomesMTM was founded in 1999 by a group of
pharmacists and businesspeople who had a vision for
delivering better health via a readily accessible and
widely trusted healthcare professional — the local
pharmacist. They wanted to empower pharmacists to
use their clinical expertise to improve MTM and overall
quality of life for patients, in a way that helped them
earn money and support their business.
Since then, MTM has become widely adopted by insurers
and associated pharmacies across the US to reduce
adverse events and help patients achieve the best
outcomes for medication therapies. OutcomesMTM
offers a systematic, multi-channel approach to MTM,
enabling local pharmacists to become knowledgeable
health care providers and care partners for patients.
Service Details
OutcomesMTM connects Medicare, Medicaid, commercial
health plans, employers, and other healthcare
payers with a national network of 100,000 local chain,
independent, and health-system pharmacy providers to
provide MTM services. Clients can implement existing
programs offered by OutcomesMTM or partner with
the company to design and pilot new services.
The objectives of OutcomesMTM’s services are to:
1. Help patients to get better results from their
medications
2. Avoid unnecessary medication and healthcare costs
3. Achieve better health
OutcomesMTM serves patients across the US with its
wide network of community pharmacists:
• OutcomesMTM covers 5 million-plus members for
over 40 healthcare payers in all 50 states, Washington
D.C. and Puerto Rico
• More than 100,000 pharmacists have completed
training and ~61,000 pharmacies are contracted
with OutcomesMTM
• Although services span a wide array of conditions, a
few common focus areas include diabetes, asthma,
and high cholesterol
The service also provides plan sponsors with estimated
avoided costs and return on investment, using its Actuarial
Investment Model (AIM). Each OutcomesMTM claim
An Initiative of the
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OutcomesMTM