6 Being prepared for an Online Visit Healthcare continues to expand its online presence. There are many more tools available for people to get care online. Our members can meet with many providers from the comfort of their home using a Video Visit or telehealth visit. There are many benefits to a Video Visit or telehealth visit. You won’t have to travel, there is a shorter waiting period, and you can fit it into your day much easier. It also improves access to care and can lead to more positive outcomes. Before your visit Before you meet online, test your device. Make sure your audio and video (if you are using video) are working properly. Sometimes, you will need to join through an invite. It can be best to do so early to ensure that everything is working properly. Also plan to use a private area where you can discuss your health. If you are using video, make sure the area has good lighting so the provider can see clearly. Try to avoid areas in public that can be busy and noisy. When you meet with your provider, take notes, and don’t be afraid to ask the provider to repeat themselves. Visiting online can go faster than meeting in person, so remember to slow down and ask questions. It is a good idea to make a list of your needs and go over them during the visit. A telehealth visit is like a traditional office visit, except you and the healthcare provider are in different places. Your provider may offer help, such as a screen reader, closed captioning, or an interpreter. Talk to your provider before your appointment if you have concerns about handling the Video Visit successfully. Medication Therapy Management (MTM) is a service offered to our Medicare members at no charge. It allows our members to review their medications with a Presbyterian Health Plan pharmacist. This helps our members improve their drug therapy and outcomes. Once the review is completed, we mail the member a written medication action plan. Who is eligible? Presbyterian identifies members monthly, based on our program eligibility criteria submitted to CMS yearly. Once identified, Presbyterian Health Plan mails a welcome letter and then calls members to be included in the program. Members may call Presbyterian Pharmacy Services, Monday through Friday, 8 a.m. to 5 p.m., at (505) 923-5757. How do participating members benefit from the program? Members benefit from our MTM services by receiving a one-onone, personalized, comprehensive medication review with one of our team members. During a comprehensive medication review, team members address the following: • Questions or concerns regarding drug therapies • Assessment of how well current drug therapies are working • Review of the patient’s understanding of all medications • Review of patient history and health status • Discussion of the goals of pharmacy and over-the-counter therapies • Identification, resolution, and prevention of drug therapy problems • A personal care plan and medication list for the member As part of the review, our team also addresses cost concerns by finding opportunities for: • Brand to generic drug therapy changes • Drug therapy class changes (lower tier) • Removal of duplicate therapy (multiple medications for the same treatment) • Copay assistance programs, if applicable • Filling medications through the Presbyterian sample clinic, if applicable Adherence outreach Our clinical pharmacists also reach out by phone call monthly to members on chronic (daily) medications to provide education and help with barriers that may cause our members not to take their medication. After speaking with the member, we save them time by calling their pharmacy of choice to request a refill for them. The Medication Therapy Management Program
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