منابع مشابه
Prescription Drug Benefits: Cost Management Issues for Medicare
Little attention has been devoted in policy circles as to how Medicare would manage an outpatient prescription drug benefit. This article, first, discusses the role of the pharmacy benefits manager (PBM), the entity that processes claims and otherwise helps administer the benefit. It then discusses the major decisions that will be necessary regarding such matters as: which drugs should be cover...
متن کاملA Medicare prescription drug benefit: focusing on coverage and cost.
Introduction P harmaceuticals are a critical element of modern medical treatment, yet the traditional Medicare benefits package does not include coverage of outpatient prescription drugs. This omission is significant because the 38.1 million people who comprise the Medicare population are disproportionately likely to use drugs.The elderly represent 14 percent of the U.S. population but account ...
متن کاملEstimating the Cost of a Medicare Outpatient Prescription Drug Benefit
People enrolled in Medicare account for more than one-third of all outpatient prescription drug expenditures in the United States. That being the case, a proposed prescription drug benefit under the Medicare program would insure a substantial part of the market and would create the largest expansion of the program in the past 20 years. This article explains how the cost of a drug benefit was es...
متن کاملMedical cost offsets from prescription drug utilization among Medicare beneficiaries.
This brief commentary extends earlier work on the value of adherence to derive medical cost offset estimates from prescription drug utilization. Among seniors with chronic vascular disease, 1% increases in condition-specific medication use were associated with significant (P less than 0.001) reductions in gross nonpharmacy medical costs in the amounts of 0.63% for dyslipidemia, 0.77% for cong...
متن کاملThe drug cost gap and the diagnosis-prescription connection.
Although the rise in pharmacy benefit costs continues to outpace overall medical cost inflation, the gap is narrowing. Employers can improve cost and employee wellness even further with an innovative technique for drug therapy compliance called the Diagnosis-Prescription (Dx-Rx) approach. This article reports results from a 2007 national employer survey on pharmacy benefits and describes how th...
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ژورنال
عنوان ژورنال: American Journal of Hospice and Palliative Medicine®
سال: 2002
ISSN: 1049-9091,1938-2715
DOI: 10.1177/104990910201900302