Performance Improvement 2009. Do Sponsors Willingly Participate in the Prescription Drug Payment Demonstration; with What Results?

01/01/2009

The evaluation examined implementation-phase results from a five-year demonstration intended to allow prescription drug plan sponsors to choose drug reimbursement methodologies. This “ reinsurance” demonstration seeks to provide an incentive for private sector drug payment plans to offer supplemental prescription drug coverage to Medicare beneficiaries.

The study found broad support for the demonstration and almost universal agreement that the alternative reinsurance financing allowed for enhanced benefits or lowered premiums. Organizations set monthly premiums with great care and considered strategies for formulary design and covered drugs. No effects were found on implementation, marketing or education strategies used in the demonstration.

Report Title: Medicare Part D Payment Demonstration Site Visit Report http://www.cms.hhs.gov/DemoProjectsEvalRpts/downloads/PDP_Site_Visit_Report.pdf
Agency Sponsor: CMS-ORDI, Office of Research, Development, and Information
Federal Contact: Aman Bhandari, 410-786-2313
Performer: Research Triangle Institute
PIC ID: 8961

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