Assessing the impact of coverage gaps in the Medicare Part D drug benefit.
نویسنده
چکیده
(1) Medicare beneficiaries reduced their drug spending in response to interruptions in prescription coverage prior to the implementation of the Part D benefit. (2) Interruptions in drug coverage were amplified, as a response to gaps in prescription drug coverage, for those suffering from chronic conditions. (3) Trends in spending and medication utilization by Medicare beneficiaries in this study illustrate how Part D beneficiaries potentially would decrease their medication utilization as a response to increasing gaps in their prescription coverage.
منابع مشابه
Cost-lowering strategies used by medicare beneficiaries who exceed drug benefit caps and have a gap in drug coverage.
CONTEXT The majority of Medicare drug benefits in managed care (Medicare + Choice) have annual dollar limits or caps and many beneficiaries face temporary but potentially significant gaps in coverage after exceeding caps before the end of the year. In the new national Medicare drug benefit, beneficiaries with high medication expenditures will also face a period without drug coverage when their ...
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This study projects how much Medicare beneficiaries who sign up for the standard Part D drug benefit in 2006 will pay in quarterly out-of-pocket payments through 2008. In the first year we estimate that about 38 percent of enrollees will hit the benefit's no-coverage zone, known as the "doughnut hole," and that 14 percent will exceed the catastrophic threshold. Because drug spending is highly p...
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This Issue Brief examines how current health reform legislation being debated in Congress will impact the future of retiree health benefits. In general, the proposals' provisions will have a mixed impact on retiree health benefits: In the short term, the reinsurance provisions would help shore up early retiree coverage and Medicare Part D coverage would become more valuable to retirees. In the ...
متن کاملHow the Medicare Part D drug benefit changed the distribution of out-of-pocket pharmacy spending among older beneficiaries.
OBJECTIVE To examine the impact of the Medicare drug benefit (Part D) on the distribution of out-of-pocket pharmacy spending among older adults. METHODS We used a pre-post-with-comparison-group design to compare four groups of beneficiaries continuously enrolled in a Medicare Advantage plan between 2004 and 2007: three intervention groups with no or limited (quarterly caps of $150 or $350) pr...
متن کاملMedicare Part D-a roundtable discussion of current issues and trends.
BACKGROUND Medicare Part D was introduced with a goal of providing access to prescription drug coverage for all Medicare beneficiaries. Regulatory mandates and the changing landscape of health care require continued evaluation of the state of the Part D benefit. OBJECTIVE To review the current state of plan offerings and highlight key issues regarding the administration of the Part D benefit....
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ورودعنوان ژورنال:
- Findings brief : health care financing & organization
دوره 11 3 شماره
صفحات -
تاریخ انتشار 2005