{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T09:31:38Z","timestamp":1782552698617,"version":"3.54.5"},"reference-count":22,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2019,12,30]],"date-time":"2019-12-30T00:00:00Z","timestamp":1577664000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Pharmacy Practice"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Nonadherence to medications is a concern due to adverse outcomes and higher costs of care. The Centers for Medicare and Medicaid Services has made adherence a key measurement for Star ratings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To evaluate the impact of a collaborative pilot program between a third-party payer, local pharmacy organization, and academic institution focusing on improving medication adherence with community pharmacies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Twenty-five community pharmacies implemented adherence-based interventions in patients \u226565 years old, who were Medicare Advantage Plan members, taking targeted medications (statins, oral diabetic medications, angiotensin-converting enzyme inhibitors [ACE-Is] and angiotensin receptor blockers [ARBs]). Outcome measures were (1) pharmacy intervention completion rate, (2) type of adherence interventions, (3) change in the proportion of days covered (PDC) following pharmacist intervention based on adherence group, and (4) nonadherence barriers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 1263 interventions met the eligibility criteria, and common interventions included explaining the benefit of the medication (n = 453, 35.9%) and provider follow-up (n = 109, 8.6%). Among nonadherent subjects who became adherent, the mean PDC increased by 14% (74%-88%, P &lt; .0001), with a 12% decrease in mean PDC score in the nonadherent who remained nonadherent group (71%-58%, P &lt; .0001). Common patient barriers for nonadherence were forgetfulness (n = 451, 35.7%) and denial (n = 84, 6.7%). System and therapeutic barriers included complexity (n = 155, 12.3%) and adverse side effects (n = 42, 3.3%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This collaborative effort successfully implemented a community pharmacist-led adherence intervention in 25 independent pharmacies. Our findings highlight increased interactions with patients and in some cases improved adherence measures. Future research must include implementation outcomes in order to effectively implement these interventions in the community pharmacy setting.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0897190019896505","type":"journal-article","created":{"date-parts":[[2019,12,30]],"date-time":"2019-12-30T04:30:00Z","timestamp":1577680200000},"page":"694-702","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":17,"title":["Impact of Community Pharmacist Interventions With Managed Care to Improve Medication Adherence"],"prefix":"10.1177","volume":"34","author":[{"given":"Christopher J.","family":"Daly","sequence":"first","affiliation":[{"name":"Department of Pharmacy Practice, University at Buffalo School of Pharmacy and Pharmaceutical Sciences, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly","family":"Verrall","sequence":"additional","affiliation":[{"name":"Pharmacy Quality and Medication Therapy Management, Independent Health, Buffalo, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9240-7067","authenticated-orcid":false,"given":"David M.","family":"Jacobs","sequence":"additional","affiliation":[{"name":"Department of Pharmacy Practice, University at Buffalo School of Pharmacy and Pharmaceutical Sciences, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,12,30]]},"reference":[{"key":"bibr1-0897190019896505","doi-asserted-by":"publisher","DOI":"10.1331\/JAPhA.2014.13180"},{"key":"bibr2-0897190019896505","doi-asserted-by":"publisher","DOI":"10.3390\/pharmacy6020044"},{"key":"bibr3-0897190019896505","doi-asserted-by":"publisher","DOI":"10.1177\/003335491212700102"},{"key":"bibr4-0897190019896505","doi-asserted-by":"publisher","DOI":"10.4065\/mcp.2010.0575"},{"key":"bibr5-0897190019896505","first-page":"35","volume":"7","author":"Iuga AO","year":"2014","journal-title":"Risk Manage Healthcare Policy"},{"key":"bibr6-0897190019896505","unstructured":"Pharmacy Quality Alliance. Update on medication quality measures in Medicare Part D Plan Star Ratings\u20142018. https:\/\/pqaalliance.org\/measures\/cms.asp. Accessed June 28, 2018."},{"key":"bibr7-0897190019896505","unstructured":"Centers for Medicare & Medicaid Services. Medicare 2016 Part C & D Star Rating technical notes. https:\/\/www.cms.gov\/Medicare\/Prescription-Drug-Coverage\/PrescriptionDrugCovGenIn\/Downloads\/2016-Technical-Notes-Preview-1-v2015_08_05.pdf. Accessed June 28, 2018."},{"key":"bibr8-0897190019896505","unstructured":"Centers for Medicare & Medicaid Services. Enhancements to the star ratings for 2017 and beyond. https:\/\/www.cms.gov\/Medicare\/Prescription-Drug-Coverage\/PrescriptionDrugCovGenIn\/Downloads\/2017-Star-Ratings-Request-for-Comments.pdf. Accessed June 28, 2018."},{"key":"bibr9-0897190019896505","unstructured":"Centers for Medicare & Medicaid Services. Fact sheet\u20142016 Star Ratings. https:\/\/www.cms.gov\/Medicare\/Prescription-Drug-Coverage\/PrescriptionDrugCovGenIn\/PerformanceData.html. Accessed June 28, 2018."},{"key":"bibr10-0897190019896505","unstructured":"Centers for Medicare & Medicaid Services. 2017 Star Ratings. https:\/\/www.cms.gov\/Newsroom\/MediaReleaseDatabase\/Fact-sheets\/2016-Fact-sheets-items\/2016-10-12.html#. 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