This report uses MCBS data to develop a simulation model of the cost impacts of formulary changes. The report examines public and private sector formulary and classification schemes compared with USP Model Formulary and CMS formulary approval guidance. Findings address formularies' potential success under CMS's rules for formulary approval and the
The Secretary of the Department of Health and Human Services (HHS) was charged with setting regional market areas for the implementation of the Medicare Prescription Drug, Improvement and Modernization Act of 2003 (MMA). This project sought to identify and analyze tradeoffs inherent in alternative strategies for setting region boundaries and to in
Provides discussion and estimates of several Congressional proposals on prescription drug costs for Medicare beneficiaries.
Securing the Benefits of Medical Innovation for Seniors: The Role of Prescription Drugs and Drug Coverage
This report examines the consequences to medical innovation and overall health posed by attempts to contain drug expenditures by implementing government controls.
The Effects of Congressional Proposals on Prescription Drug Costs for Medicare Beneficiaries. Other Key Provisions of the House Republican Plan
The discussion above focuses on the savings that seniors will obtain once the full Medicare drug benefit is available. But the bill would generate other benefits as well and would not make seniors wait until 2005 to begin getting help with their drug costs.
The Effects of Congressional Proposals on Prescription Drug Costs for Medicare Beneficiaries. Illustrative Beneficiary Scenarios
These savings under the House Republican plan will really add up for seniors who now lack drug coverage, as indicated in the following hypothetical but true-to-life examples:
The Effects of Congressional Proposals on Prescription Drug Costs for Medicare Beneficiaries. State-by-State Analysis of Help for Lower-Income Seniors and Savings for State Governments
The House Republican plan recognizes that seniors with the lowest incomes have the greatest difficulty affording the drugs they need. That is why it offers substantial premium subsidies and only nominal co-payments to those beneficiaries with incomes below 175% of poverty.
The Effects of Congressional Proposals on Prescription Drug Costs for Medicare Beneficiaries. Added Help for Lower-Income Seniors
Seniors with incomes below 175% of poverty would see even more dramatic savings under the House Republican bill. They would generally pay only $2-5 for each prescription. And those with incomes below 150% of poverty would pay no monthly premium, while seniors with incomes between 150% and 175% of poverty would pay reduced monthly premiums.
The Effects of Congressional Proposals on Prescription Drug Costs for Medicare Beneficiaries. Protection Against High Drug Costs with a Secure Entitlement
The House proposal also includes generous catastrophic protection for all seniors who have high out-of-pocket drug expenses – targeting help to those who need it most. It thus would help fulfill President Bush’s call to renew the commitment that President Johnson made when Medicare was enacted – so that illness will no longer crush and dest
The Effects of Congressional Proposals on Prescription Drug Costs for Medicare Beneficiaries. Effects of Prescription Drug Benefit Proposals for Typical Medicare Beneficiaries
Under the 2002 House Republican bill, CBO’s analysis indicates that seniors now paying full retail prices would on average save 20-25 percent on their prescriptions as plans compete to serve them by offering price discounts and other help to lower their drug costs. Seniors would benefit from the efficiencies of private sector management tools a
The Effects of Congressional Proposals on Prescription Drug Costs for Medicare Beneficiaries. Background on Current Prescription Drug Coverage and Spending
About 25 percent of Medicare beneficiaries have no drug coverage during the year, and many others have only partial coverage or have a drug plan – such as a Medigap policy – that does not negotiate price discounts on their behalf.
The Effects of Congressional Proposals on Prescription Drug Costs for Medicare Beneficiaries. Overview
The House Republican plan would provide real relief for seniors and disabled Americans: those who now pay full retail prices would typically see the costs of each prescription cut by 60-85 percent, and their overall out-of-pocket drug costs would fall by as much as 70 percent – in exchange for a stable and affordable premium starting at $34 per
ASPE ISSUE BRIEF Expanding the Use of Generic Drugs By: ASPE Staff December 1, 2010
A National Comparison of Prescription Drug Expenditures by Medicare Beneficiaries Living in the Community and Long-Term Care Facility Settings
U.S. Department of Health and Human Services A National Comparison of Prescription Drug Expenditures by Medicare Beneficiaries Living in the Community and Long-Term Care Facility Settings Linda Simoni-Wastila, PhD, Thomas Shaffer, MHS and Bruce Stuart, PhD University of Maryland, Baltimore, Peter Lamy Center on Drug Therapy