Performance Improvement 2009. Why Do Medicare Beneficiaries Enroll in Prescription Drug Payment Demonstration Plans; Do Their Experiences Differ from Non-Demonstration Plan Enrollees?


The study focused on experiences among demonstration beneficiaries enrolled in Medicare Advantage-Prescription Drug plans or free-standing prescription drug plans versus non-demonstration beneficiaries in such plans. The five-year Medicare prescription drug (Part D) payment demonstration allows plans to choose alternative methods to pay for reinsurance coverage.

The study found important differences among the enrollees in demonstration versus non-demonstration plans. Enrollees in demonstration plans were more aware of having a range of choices among basic and enhanced benefit packages. Demonstration enrollees were more knowledgeable about Part D plan benefit details, appeared healthier, and reported lower drug consumption than the non-demonstration enrollees. Beneficiaries found the Part D program confusing, complained about drug prices in the coverage gap, but eventually got needed medications.

Report Title: Medicare Part D Payment Demonstration Site Focus Group Report
Agency Sponsor: CMS-ORDI, Office of Research, Development, and Information
Federal Contact: Aman Bhandari, 410-786-2313
Performer: Research Triangle Institute
PIC ID: 8962

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