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  • Cost Containment Strategies For Prescription Drugs: Assessing The Evidence In The Literature

    Report

    This report describes and reviews various options to address prescription drug spending growth, including a description of each cost-containment strategy, its use by private or public payers, and a discussion of known evidence about its effectiveness or cost-saving potential. It was prepared for the Kaiser Family Foundation by Jack Hoadley, Ph.D., of the Health Policy Institute at Georgetown University. Report (.pdf)

  • Policy Workshop on Formularies and Medicare

    Event Date:
    Event

    The Kaiser Family Foundation hosted a March 14, 2005 policy workshop on the use of drug formularies in the private sector and their potential implications for beneficiaries under the new Medicare drug benefit, set to go into effect January 1, 2006. The workshop involved an expert panel, including perspectives from a health plan, a pharmacy benefits manager, a physician, the Centers for Medicare & Medicaid Services and policy experts. Agenda (.pdf) Presentation (.pdf) Speaker Biographies…

  • The President’s FY 2006 Budget Proposal:

    Report

    Overview and Briefing Charts This chartpack reviews the President’s FY 2006 budget request to Congress and highlights overall budget assumptions and funding for major health programs. It begins with a description of the federal budget process, followed by an overview of federal surplus/deficit spending patterns dating back to 1969. It then turns to summary information on the overall composition of the Administration’s budget, followed by the President’s proposed funding for some of the major programs…

  • Online Tools for Consumer-Directed Health Plans

    Event Date:
    Event

    On Jan. 25, 2005, Kaiser Family Foundation hosted a demonstration of the online tools made available to enrollees in consumer-directed health plans. Executives from Humana and Lumenos -- two major firms in the consumer-directed care market -- conducted real-time demonstrations of their consumer web tools to show how enrollees might manage the costs and quality of their care. Consumer-directed, or consumer-driven, health plans are intended to give enrollees a financial stake in their health care…

  • Impact of Pharmaceutical Promotion on the Use of Antidepressant Medication

    Other Post

    Two recent articles have been published on the impact of direct-to-consumer advertising (DTCA) on the use of antidepressants, based on research by researchers at Harvard University and the Massachusetts Institute of Technology, and funded in part by the Kaiser Family Foundation. These articles include: "Effects of Direct-to-Consumer Advertising on Medication Choice: the Case of Antidepressants," Journal of Public Policy and Marketing, 23(2):115-127, Fall 2004 (J.M. Donohue and E.R. Berndt). This research found that DTCA for…

  • Section 12: Employer Opinions and Health Management Programs

    Report

    Exhibit 12.1 Exhibit 12.6 Exhibit 12.2 Exhibit 12.7 Exhibit 12.3 Exhibit 12.8 Exhibit 12.4 Exhibit 12.9 Exhibit 12.5   12 Kaiser Family Foundation, Kaiser Commission on Medicaid and the Uninsured. Health Insurance Coverage in America, 2002 Data Update, December 2003. 13 These answers are not exclusive: 11% of firms that shopped switched both carrier and type of health plan offered. 

  • Section 11: Retiree Health Benefits

    Report

    Exhibit 11.1 Exhibit 11.4 Exhibit 11.2 Exhibit 11.5 Exhibit 11.3   11 Twenty-eight percent of Medicare beneficiaries receive prescription drug coverage from an employer, a far higher number than receive coverage through a Medicare HMO (15%), Medigap (7%) or Medicaid (10%). Laschober et. al., Health Affairs, February 2002.

  • Section 10: Plan Funding

    Report

    Exhibit 10.1 Exhibit 10.5 Exhibit 10.2 Exhibit 10.6 Exhibit 10.3 Exhibit 10.7 Exhibit 10.4   10 A self-funded plan is one in which the employer assumes direct responsibility for the costs of enrollees’ medical claims. Employers sponsoring self-funded plans typically contract with a third-party administrator or insurer to provide administrative services for the self-funded plan.

  • Section 9: Prescription Drugs and Mental Health Benefits

    Report

    Exhibit 9.1 Exhibit 9.5 Exhibit 9.2 Exhibit 9.6 Exhibit 9.3 Exhibit 9.7 Exhibit 9.4 Exhibit 9.8 9 There are fewer observations for estimating the average copayment for four-tier drugs compared to other drug types.