Navigation Links
Experts analyze benefits, opportunities and challenges of Medicare Part D
Date:6/29/2010

Philadelphia, PA, June 29, 2010 The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (Medicare Part D) added prescription drug coverage to Medicare beginning in January 2006. This has dramatically reshaped the prescription drug insurance market and has had significant effects on insurers, beneficiaries, and providers. For researchers, it has provided a rich source of research questions to examine. A special themed issue of Research in Social and Administrative Pharmacy analyzes the benefits, opportunities and challenges afforded by the Medicare Part D drug benefit program from different perspectives from providers and pharmacists to patients.

Guest editors Julie M. Urmie, Ph.D., and William R. Doucette, Ph.D., both of the Department of Pharmacy Practice and Science, University of Iowa, Iowa City, have assembled a group of experts in their respective fields to provide critical insights into how Medicare Part D has impacted:

  • Prescription costs
  • >Use of generic drugs
  • Coverage for previously uninsured Medicare beneficiaries
  • Chain and independent pharmacies and pharmacists
  • Reimbursement from Part D plans
  • Beneficiary experiences with Medicare Part D and access to MTM (Medication Therapy Management) services

"Medicare Part D has been a rich source of research opportunities since its implementation in 2006," commented Professor Urmie and Professor Doucette. "Although researchers have made strides in understanding its impact on various constituencies, the complexity and continually evolving nature of Part D will yield many future research prospects. We hope that the articles in this theme issue of RSAP contribute a usable baseline for such future research and we look forward to seeing an abundance of future research in this area."

Two articles discuss the cost of Part D. In the first, David A. Mott and coauthors studied whether Medicare Part D had the intended effects of helping individuals with high financial burden without increasing use among individuals with low financial burden. Part D resulted in significantly increased drug use for those with the highest pre-part D out-of-pocket drug spending relative to individuals with the lowest pre-Part D drug spending burden. Significant decreases in out-of-pocket drug spending for those individuals with the highest Part D out-of-pocket spending relative to individuals with moderate and the lowest pre-Part D drug spending burden were also noted.

Beneficiaries of Medicare Part D must decide whether to enroll in a stand-alone prescription drug plan (PDP) and receive other medical coverage through the Medicare Part A and B fee-for-service benefit or to enroll in a Medicare Advantage prescription drug plan (MA-PD) providing comprehensive care. Richard R. Cline and colleagues examined factors impacting this decision. For example, individuals living in rural areas, who reported non-white ethnicity, with annual household incomes between $25,000 and $50,000, and who reported knowing their current pharmacist "extremely well" were less likely to enroll in a Medicare Advantage prescription drug program. A wide variety of variables appear to be associated with Medicare Part D enrollment decisions.

Amber M. Goedken and coauthors administered online surveys to elderly Medicare beneficiaries before and after implementation of Medicare Part D to examine the cost-sharing they faced and the medications they used. They found that copayment differentials between generic and brand drugs in three-tier Part D plans were greater than in employer plans. The generic drug utilization rates of the uninsured and beneficiaries with Part D were lower than those of beneficiaries with employer coverage but similar to each other.

The next two articles examine the impact of Medicare Part D on independent and chain pharmacies. James D. Bono and Stephanie Yvonne-Crawford report on focus groups held with rural Illinois pharmacists shortly after the implementation of Medicare Part D. They explored the impact on the rural pharmacy environment, in particular looking for any similarities or differences in the perceptions of rural independent and chainstore pharmacists. The authors found that rural independent pharmacies may be more highly impacted, which in turn could jeopardize their viability in serving patients in these communities.

Su Zhang and co-authors surveyed independent pharmacies to assess their satisfaction with Medicare Part D contracts. If prevalent, low satisfaction could reduce the access of Medicare Part D beneficiaries to pharmacist services. Independent pharmacy owners' satisfaction was most influenced by equity or fairness, contending, a willingness to negotiate, generic rate bonuses and medication therapy management (MTM) payments.

Medication therapy management (MTM) is a relatively new service for Medicare Part D beneficiaries, and MTM best practices are not established. Leticia R. Moczygemba and co-authors assessed patient satisfaction with a pharmacist-provided telephone Medicare Part D MTM program. Overall, patients were satisfied with the MTM program. They indicated that they liked receiving MTM via the telephone, but would also be willing to attend a face-to-face MTM consultation.

Pharmacists are also on a learning curve with MTM services. Beth A. Martin and her colleagues developed a scale to measure community pharmacists' self-efficacy in performing medication therapy management services. The 3-factor 14-item scale can be used to measure change in self-efficacy as MTM programs expand, identify specific training interventions, and target pharmacists for inclusion in future initiatives.


'/>"/>

Contact: Chris Baumle
c.baumle@elsevier.com
215-239-3731
Elsevier Health Sciences
Source:Eurekalert

Related medicine news :

1. International child-health experts to converge on London for Excellence in Pediatrics
2. Experts explore emerging evidence linking diabetes and cancer
3. John Theurer Cancer Center experts present new cancer research at ASCO Annual Meeting
4. University Hospitals Case Medical Center experts present at ASCO Annual Meeting
5. Experts Advise At-Risk Diabetics to Begin Daily Aspirin Later
6. As Autism Web Sites Boom, Experts Urge Caution
7. Swimming Lessons OK for Toddlers, Experts Say
8. Crohn's & Colitis Foundation National Event Helping Women Manage Inflammatory Bowel Disease: Two Women Physician Experts and Researchers in IBD on Interactive Webcast/Teleconference
9. Experts call for urgent action to tackle strong links between impotence and heart disease
10. Experts Divided on Whether to Treat Thyroid Cancer
11. Want to Learn About The Medical Marijuana Industry? Get The Right Information From The Nation's Foremost Industry Experts?
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/12/2017)... ... 12, 2017 , ... First Healthcare Compliance (FHC), an industry ... a range of technology and learning solutions at the 68th Annual American Healthcare ... be held October 14–18, 2017 at the Mandalay Bay Resort in Las Vegas, ...
(Date:10/12/2017)... ... October 12, 2017 , ... The company has ... today’s consumer and regulatory authorities worldwide. From Children’s to Adults 50+, every formula ... the highest standard. , These products are also: Gluten Free, Non-GMO, Vegan, ...
(Date:10/12/2017)... ... , ... Asante, a nationally recognized health system in southern ... home health joint venture through an agreement, effective October 1, 2017, to create ... health company with Asante, delivering clinically integrated care, for the past eight years. ...
(Date:10/12/2017)... ... 12, 2017 , ... HMP , a leader in healthcare events and ... Eddie Digital Award for ‘Best B-to-B Healthcare Website.’ Winners were announced during the Eddie ... annual award competition recognizes editorial and design excellence across a range of sectors. This ...
(Date:10/12/2017)... GRAND RAPIDS, Mich. (PRWEB) , ... October 12, ... ... OnSite Wellness, has been named one of Michigan’s 2017 Best and Brightest in ... Best and Brightest in Wellness® awards program on Friday, Oct. 20 from 7:30 ...
Breaking Medicine News(10 mins):
(Date:10/7/2017)... --  Provista, a proven leader in the supply ... power, today announced a new resource area on Provistaco.com ... is the online home for case studies, articles on ... releases, slideshows and events. ... at their fingertips, viewers can also watch short videos ...
(Date:10/4/2017)... Mass. , Oct. 4, 2017  According to the Centers for ... the end of October . PhysicianOne Urgent Care is helping communities across ... Westchester, NY , by offering no-cost* flu shots through the ... as mandated by certain health insurance regulations. ... The best time to get a flu shot is by the ...
(Date:10/2/2017)... Lilly and Company (NYSE: LLY ) will ... 2017 on Tuesday, October 24, 2017. Lilly will also ... investment community and media to further detail the company,s ... at 9 a.m. Eastern time. Investors, media and the ... conference call through a link that will be posted ...
Breaking Medicine Technology: