Table 8. CMM financial characteristics of participating clinics (n=40).
Characteristic | N (%) |
---|---|
Payer mix of clinic overall by percentage* | |
Medicare, mean ± SD | 23.2% ± 18.2 |
Medicaid, mean ± SD | 25.5% ± 19.5 |
Dual eligible, mean ± SD | 7.65% ± 13.7 |
Commercial (i.e., third party payer), mean ± SD | 37.6% ± 23 |
Uninsured/Self-pay, mean ± SD | 4.1% ± 6.7 |
Other, mean ± SD | 2% ± 5.9 |
Payer mix of patients receiving CMM by percentage* | |
Medicare, mean ± SD | 40.7% ± 30.0 |
Medicaid, mean ± SD | 18.9% ± 22.8 |
Dual eligible, mean ± SD | 8.4% ± 14.6 |
Commercial (i.e., third party payer), mean ± SD | 27.4% ± 26.0 |
Uninsured/Self-pay, mean ± SD | 2.9% ± 7.4 |
Other, mean ± SD | 1.7% ± 5.3 |
Source of funding for providing CMM | |
Primary care medical practice | 5 (12.5%) |
The health care organization (e.g., health system, clinically integrated network) | 27 (67.5%) |
School or College of Pharmacy | 9 (22.5%) |
Partnering entity | 1 (2.5%) |
Other | 3 (7.5%) |
Billing third party payers for pharmacist services for pharmacist-provided patient care services | 34 (85%) |
Percent of CMM patients for whom pharmacists receive payment (n=32), mean ± SD | 33.83% ± 33.28 |
Requirement that pharmacists have specific credentials or training beyond their pharmacy degree by payers to whom pharmacists submit claims to provide payment (n = 32) | 8 (25%) |
Combination of actual and respondent-estimated data