Medicaid/CHIP: Prescription Drugs - Kaiser Family Foundation

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Medicaid/CHIP: Prescription Drugs

Resources on Dual Eligibles and Issues Related to Their Transition to the New Medicare Drug Benefit
A collection of information and publications on dual eligibles, their current drug coverage, and issues related to their transition to the new Medicare drug benefit.

State Medicaid Outpatient Prescription Drug Policies: Findings from a National Survey, 2005 Update
This survey of state Medicaid pharmacy programs supplements surveys conducted in 2003 and 2000 and reports Medicaid prescription drug policies in effect in early 2005. It covers key elements of utilization management, drug purchasing and potential impacts of the implementation of the Medicare prescription drug benefit.

Recent Documents: (101 results)

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The Crunch Continues: Medicaid Spending, Coverage and Policy in the Midst of a Recession -- September 2009

Our annual 50-state survey finds that number of people on Medicaid and state spending on the program are climbing sharply as a result of the recession, straining state budgets and pressuring officials to curb costs despite increased financial help from the federal government through the American Recovery and Reinvestment Act (ARRA).

Medicaid Benefits: Online Database -- September 2009
This searchable database, updated to include data through October 2008, houses comprehensive information on Medicaid benefits in the 50 states, the District of Columbia and the U.S. territories. It includes data about 46 services, including whether the benefit is covered, the populations that are eligible to receive various benefits, and the limitations, co-payments and payment rules that apply to the benefits.

Medicare Prescription Drug Plans in 2009 and Key Changes Since 2006: Summary of Findings -- June 2009
This report summarizes findings from a series of Medicare Part D 2009 Data Spotlights documenting changes in drug coverage and costs since 2006 and finds, in many ways, beneficiaries over time are paying more for less generous benefits.

Medicaid: A Primer 2008 -- December 2008
The primer provides an overview of the basic components of Medicaid, the nation's largest health coverage program, which covers 59 million low-income individuals, including children and families, people with disabilities and the elderly who are also covered by Medicare.

The Medicaid Program at a Glance - UPDATE -- November 2008

This fact sheet provides an overview of the Medicaid program, the populations that it serves and the services that it covers.

Headed for a Crunch: An Update on Medicaid Spending, Coverage and Policy Heading into an Economic Downturn -- September 2008

This eighth annual 50-state survey on Medicaid and state budget actions finds enrollment began to rise in fiscal year 2008 with states expecting even larger increases for fiscal year 2009. With the increased enrollment, Medicaid spending is also rising more rapidly than in the recent past.

Kaiser Fast Facts -- May 2008
“Kaiser Fast Facts” features “QuickTakes” and “Kaiser Slides” – two tools that provide direct access to facts, data and slides about the nation's health care system and programs, in an easy-to-use format. “QuickTakes” presents an inventory of facts-at-a-glance and "Kaiser Slides" allows Web visitors to freely view, download and print graphics and tables of health policy statistics and trends.

Additional Findings from the National Surveys of Doctors and Pharmacists -- November 2006
The Kaiser Family Foundation released additional findings on a wide range of health care issues from separate national surveys of doctors and pharmacists.

Observations on the Initial Implementation of the Medicare Prescription Drug Program: Perspectives of State Medicaid Directors Through a Focus Group Discussion -- May 2006

This report summarizes the observations of Medicaid directors at a March 2006 focus group on the new Medicare drug benefit and its interactions with state Medicaid programs as dual enrollees are transition from a Medicaid drug benefit to the Medicare benefit.

Transitions 2006 -- May 2006

This 2006 video produced by the Foundation reports on the experiences of three dual enrollees as they transition from a Medicaid prescription drug benefit to the new Medicare drug benefit.

This searchable database, updated to include data through October 2008, houses comprehensive information on Medicaid benefits in the 50 states, the District of Columbia and the U.S. territories. It includes data about 46 services, including whether the benefit is covered, the populations that are eligible to receive various benefits, and the limitations, co-payments and payment rules that apply to the benefits.

This report summarizes findings from a series of Medicare Part D 2009 Data Spotlights documenting changes in drug coverage and costs since 2006 and finds, in many ways, beneficiaries over time are paying more for less generous benefits.

The primer provides an overview of the basic components of Medicaid, the nation's largest health coverage program, which covers 59 million low-income individuals, including children and families, people with disabilities and the elderly who are also covered by Medicare.

This fact sheet provides an overview of the Medicaid program, the populations that it serves and the services that it covers.

“Kaiser Fast Facts” features “QuickTakes” and “Kaiser Slides” – two tools that provide direct access to facts, data and slides about the nation's health care system and programs, in an easy-to-use format. “QuickTakes” presents an inventory of facts-at-a-glance and "Kaiser Slides" allows Web visitors to freely view, download and print graphics and tables of health policy statistics and trends.

The Kaiser Family Foundation released additional findings on a wide range of health care issues from separate national surveys of doctors and pharmacists.

This 2006 video produced by the Foundation reports on the experiences of three dual enrollees as they transition from a Medicaid prescription drug benefit to the new Medicare drug benefit.

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Medicaid/SCHIP: Prescription Drugs

Medicaid is currently the largest public payor for prescription drugs, and it is an important source of drug coverage for the low-income elderly, including nearly 6 million Medicare beneficiaries, and people with disabilities. While constituting roughly a quarter of Medicaid enrollment, these two populations account for approximately 80% of the program’s drug spending. Prescription drugs have been an important driver of Medicaid spending growth for the last several years, prompting heightened state efforts to control drug utilization and costs. However, the greater need for prescription drugs and financial vulnerability found within the Medicaid population means that efforts to control spending must be balanced against maintaining beneficiaries’ access to needed therapies.