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Receipt of Medicare Part D comprehensive medication reviews in older adults with dementia.

Year: 2025
Type: article
Study design: Observational Study
Abstract: BACKGROUND: Older adults with Alzheimer disease and related dementias (ADRDs) are at high risk for medication-related problems. Comprehensive medication reviews (CMRs), required in Medicare Part D medication therapy management (MTM) programs, aim to optimize medication use and reduce adverse events. Individual factors related to MTM eligibility and CMR receipt among beneficiaries with ADRD are unknown. OBJECTIVE: To examine MTM eligibility and CMR receipt among older adults with ADRD compared with those without. METHODS: This retrospective, cross-sectional study included 2014 Health and Retirement Study participants aged at least 65 years, with continuous Medicare fee-for-service and Part D coverage. Outcomes were MTM eligibility and CMR receipt in 2014 or 2015. Our primary independent variable was presence of diagnosed ADRD. Covariates included sociodemographic characteristics, health conditions, and functional limitations. Weighted descriptive and bivariate statistics and multivariable logistic regression were used. RESULTS: = 0.12). ADRD status was not associated with CMR receipt (OR = 0.52, 95% CI = 0.23-1.21, adjusted OR = 0.75, 95% CI = 0.25-2.29). CONCLUSIONS: Older adults with ADRD were not more likely to be MTM eligible or receive a CMR compared with those without ADRD. Strategies to improve MTM program design are needed to increase CMR receipt among older adults with ADRD.
Source: PubMed
DOI: 10.18553/jmcp.2025.31.3.296
Language: English
Field: Medicine
Open Access status: green
OpenAlex ID: W4408089755
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