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How Do M+C Plans Manage Pharmacy Benefits? Implications for Medicare Reform
ReportUnderstanding how Medicare+Choice (M+C) plans manage their drug benefits may generate important lessons for Medicare. This report, based on interviews with both national and regional managed care firms, provides an in-depth look at how plans have managed their M+C outpatient pharmacy benefits in recent years.
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Online Resources Fact Sheet
Other PostOnline Resources for Health Policy Information, Research, and Analysis Key Facts and In-depth Analysis on Timely Health Policy IssuesAccess reports, chartbooks, and fact sheets that provide background and detailed analysis on timely issues such the rising numbers of uninsured, Medicare reform, how states' fiscal situations are affecting Medicaid, rising health care costs, global HIV/AIDS, racial…
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Charles Ornstein Article – Fourth in Series on How Firms Choose Health Plans
Other PostThe Henry J.
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Issue Brief: Trends in Opportunistic Infection Drug Coverage and Spending by AIDS Drug Assistance Programs
Issue BriefThis issue brief, prepared as part of the National ADAP Monitoring Project, examines ADAP formulary coverage of medications for the prevention and treatment of AIDS-related Opportunistic Infections across states, including trends in coverage and expenditures over time, and discusses some of the potential reasons for variations in coverage.
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Charles Ornstein Article – GTE
Other PostThe Henry J. Kaiser Family Foundation Sleuths Scope Out Benefits: GTE Seeks Quality at the Right Price 12/24/2000 By Charles Ornstein Reprinted with permission of The Dallas Morning News CHAMPAIGN, Ill. If George Crowling put pencil to paper, his job description would read something like this: fortune-teller, penny-pincher, paper pusher and private detective.
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Seniors and Prescription Drugs: An 8-State Survey
ReportA new study conducted by researchers at Tufts-New England Medical Center, the Henry J. Kaiser Family Foundation, and the Commonwealth Fund, reports results from a 2001 survey of 10,927 noninstitutionalized seniors in eight geographically diverse states: California, Colorado, Illinois, Michigan, New York, Ohio, Pennsylvania, and Texas.