This issue brief uses large employer experiences with pharmacy benefit managers (PBMs) to shed light on their potential as Medicare outpatient drug benefit administrators. PBM management techniques and typical employer approaches are discussed, as well as employer perspectives on PBM strengths and weaknesses and lessons learned. Considerations for Medicare policy are also examined. Information ...

This brief provides a description of prescription drug use in nursing homes and a summary of current policy issues in this area. The brief first profiles the nursing home pharmaceutical market, outlining the major trends in demographics and drug utilization, the supply chain by which drugs go from manufacturers to pharmacies to nursing home residents, and the alternative arrangements by which p...

Executive Summary Civil and political rights are sometimes referred to as negative rights, requiring a hands-off approach from the state. The present brief challenges this assumption and explains how these rights entail positive measures. The brief also attempts to unravel the relationship of civil and political rights with democracy, development and local cultures. Selected policy issues are d...

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