Advocating for a Medicare prescription drug benefit.
نویسنده
چکیده
منابع مشابه
Diagnosis-Based Risk Adjustment for Medicare Prescription Drug Plan Payments
The 2003 Medicare Prescription Drug, Improvement, and Modernization Act (MMA) created Medicare Part D, a voluntary prescription drug benefit program. The benefit is a government subsidized prescription drug benefit within Medicare. This article focuses on the development of the prescription drug risk-adjustment model used to adjust payments to reflect the health status of plan enrollees.
متن کاملThe role of PBMs in implementing the Medicare prescription drug benefit.
In creating the Medicare prescription drug benefit and stipulating that it be managed by private-sector prescription drug insurance plans, Congress opened a huge business opportunity for pharmacy benefit managers (PBMs). Although hardly noticed by the general public, PBMs already administer prescription drug benefits for nearly everyone with employer coverage and for many Medicaid recipients. T...
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 کاملThe costs of a Medicare prescription drug benefit.
This paper describes a preliminary cost estimate, prepared by the Congressional Budget Office (CBO), of President Clinton's 1999 prescription drug benefit proposal. The CBO estimated that the new benefit would increase net Medicare outlays by $136 billion between 2002 and 2009, although these estimates are highly uncertain. Because the proposal included an annual cap on the amount of the benefi...
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 ...
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ورودعنوان ژورنال:
- Yale journal of health policy, law, and ethics
دوره 3 2 شماره
صفحات -
تاریخ انتشار 2003