Navigation Links
Medicare and Patients with Schizophrenia Could Save $150 Million on Part D Plans
Date:3/3/2015

PITTSBURGH, PA (PRWEB) March 03, 2015

Using an “intelligent,” rather than random, method for assigning people with schizophrenia to Medicare Part D prescription drug coverage plans could save Medicare and patients a combined $150 million annually, a new University of Pittsburgh Graduate School of Public Health analysis discovered.

The results are reported in the March issue of the journal Health Affairs and build upon an earlier study finding that Medicare could have saved more than $5 billion in its Part D low-income subsidy program in 2009 if it had used intelligent assignment among all beneficiaries who received a subsidy.

Medicare Part D provides prescription drug coverage assistance to people enrolled in Medicare who have incomes below 150 percent of the federal poverty level. Since 2006, the government has randomly assigned low-income enrollees to stand-alone Part D plans, based upon the region in which they live.

“If the government pilots intelligent assignment of Medicare Part D beneficiaries, people with schizophrenia would be an ideal group to start with,” said lead author Yuting Zhang, Ph.D., associate professor of health economics at Pitt Public Health’s Department of Health Policy and Management. “The majority of these patients are already randomly assigned to Part D plans. They spend considerably more on medication than the general Medicare population, but most of their drug spending is subsidized by the government, and these patients often have a difficult time selecting ideal plans themselves.”

Dr. Zhang and her team obtained data on nearly 120,000 beneficiaries with schizophrenia and developed a computer algorithm to intelligently assign them to plans available in their regions based on their medication needs.

Intelligent assignment translated into an annual savings of $466 per beneficiary with schizophrenia.

Schizophrenia – a chronic, disabling brain disorder often treated with medications – affects 2.6 percent of Medicare beneficiaries enrolled in stand-alone Part D plans. More than 9 out of 10 people with the disorder are eligible for a low-income subsidy for their Part D prescription drug benefit, meaning they pay little or no premium for their Part D plan and have only nominal copayments. Although Medicare beneficiaries are allowed to select a plan other than the one to which they were randomly assigned, there is little financial reason for people with schizophrenia to do so.

“This situation highlights why it would be beneficial for the government to use intelligent assignment,” said Dr. Zhang. “We recommend that Medicare use intelligent assignment as the default approach for all beneficiaries with schizophrenia who receive a low-income subsidy, and consider it as an option for all Part D beneficiaries, regardless of their income.”

Additional authors on this research are Seo Hyon Baik, Ph.D., of Pitt Public Health; and Joseph P. Newhouse, Ph.D., of Harvard University.

This research was supported by National Institute of Mental Health grants RC1 MH088510 and R21 MH100721; and the Agency for Healthcare Research and Quality grant R01 HS018657.

Dr. Newhouse is director of, and holds equity in, Aetna, which sells Part D plans.

# # #

About the University of Pittsburgh Graduate School of Public Health
The University of Pittsburgh Graduate School of Public Health, founded in 1948 and now one of the top-ranked schools of public health in the United States, conducts research on public health and medical care that improves the lives of millions of people around the world. Pitt Public Health is a leader in devising new methods to prevent and treat cardiovascular diseases, HIV/AIDS, cancer and other important public health problems. For more information about Pitt Public Health, visit the school’s Web site at http://www.publichealth.pitt.edu.

http://www.upmc.com/media

Read the full story at http://www.prweb.com/releases/2015/03/prweb12555726.htm.


'/>"/>
Source: PRWeb
Copyright©2015 Vocus, Inc.
All rights reserved

Related medicine news :

1. PCMA Statement on the ‘Protecting the Integrity of Medicare Act’
2. Upcoming AIS Virtual Conference Will Explain What Is and Is Not Working in Medicare-Medicaid Dual Eligibles Programs
3. February 2015 Deadline for Medicare and Medicaid Professionals Encourages Technology in Healthcare Marketing
4. PYA Offers Guide to Medicare Physician Value Modifier Program
5. GreenFields of Geneva in Illinois Earns Five-Star Rating From Centers for Medicare and Medicaid Services
6. Brentwood Health Care Center Nationally Recognized by Medicare and US News & World Report for Skilled Nursing Facilities
7. Medicare to Cover Lung Cancer Screening for Long-Time Smokers
8. ATA Celebrates Halloween Telemedicine Treats for Medicare Beneficiaries
9. 65 Incorporated Offers Medicare Enrollment Resources
10. Horizon Blue Cross Blue Shield of New Jersey Offers New Medicare Advantage Patient-Centered Plan that Features Reduced Costs and More Coordinated Care
11. Corporate Whistleblower Center Urges Pharmacy Benefit Managers With Proof Their Company Is Overbilling Medicare/Medcaid To Call Them About A Recent Major Reward
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:8/17/2018)... ... ... Charles E. Crutchfield III, MD, and Crutchfield Dermatology (Eagan, Minnesota) recently assisted the ... his scoliosis (abnormal curvature of the spine) at the Minnesota Zoo (Apple Valley, MN). ... types of scoliosis are caused by an abnormal and persistent contraction of muscles along ...
(Date:8/15/2018)... ... 2018 , ... On July 30, more than 250 people attended Calvary Hospital’s ... Club in Westchester County. The event raised over $300,000 for Calvary programs and services ... included a performance by mentalist and comedian Eric Dittelman, a live auction, silent auction ...
(Date:8/14/2018)... , ... August 14, 2018 , ... ... in the Recreational Group, a leading provider of residential and commercial recreational surfacing ... and sports surfacing industry, with products used across a wide range of markets ...
(Date:8/11/2018)... ... 10, 2018 , ... Georgia Urology, the largest urology practice ... Brent Sharpe and Froylan Gonzalez recently widened that scope by debuting two new ... 27, the physicians combined their expertise to perform a nephrectomy and an adrenalectomy ...
(Date:8/9/2018)... , ... August 09, 2018 ... ... and outcomes by simplifying medication adherence monitoring with Smart-pill bottle and mobile ... FHIR in the App Orchard. , The DoseSmart medication management and medication ...
Breaking Medicine News(10 mins):
(Date:8/11/2018)... ... August 11, 2018 , ... Lefty’s the Left Hand ... games and gifts. Left-Handers are possibly the world’s largest silent minority. Fully10% of ... of prejudice, countless indignities and inconveniences, left-handers quietly learn to “adapt”without whining or ...
(Date:8/9/2018)... N.C. (PRWEB) , ... August 09, 2018 , ... ... National CBD Day with Charlotte-area company cbdMD named the exclusive sponsor. , “We’re ... It’s exciting to see such public embrace for CBD on a national level,” ...
(Date:8/7/2018)... ... 07, 2018 , ... Penn State graduate, Dr. Kevin Pauza, ... begun training and certifying spine physicians across the United States on his technique ... at the Weill Cornell Brain and Spine Center in July, and have begun ...
Breaking Medicine Technology: