Performance Improvement 2008. How Do Medicare Beneficiaries Use of Medications in Long-Term Care Facilities Compare to Community Residents' Use Before the Addition of Medicare Drug Coverage?

01/01/2008

This study prepared nationally-representative estimates of drug spending in long-term care facilities, compared drug use and spending for beneficiaries in long term care facilities versus beneficiaries in the community, and examined medication use and spending by short-stay skilled nursing home facility residents who transition into long term care facilities. Little attention had been given to how Medicare Part D for prescription drugs would affect nearly 2.7 million Medicare beneficiaries residing in nursing homes and other long-term care facilities and what the prescription drug utilization patterns were for these people. Researchers used the 1998-2001 Medicare Current Beneficiary Survey Cost and Use Files for this project.

There was a difference in drug utilization and cost between beneficiaries residing in long-term care facilities and those living in the community. Beneficiaries eligible for Medicare due to disability use a different mix of therapeutic classes of drugs than beneficiaries over age 65. Thus, review of formulary guidance in Medicare Part D should consider intra-population differences among Medicare beneficiaries.

Report Title: Prescription Drug Spending by Medicare Beneficiaries in Institutional and Residential Settings, 1998-2001, http://aspe.hhs.gov/daltcp/reports/2007/pdspend.htm
Agency Sponsor:
ASPE-ODALTCP, Office of Disability, Aging, and Long-Term Care Policy
Federal Contact: Susan Polniaszek, 202-690-6443
Performer: University of Maryland, Baltimore
PIC ID: 8549

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