Low-Income Assistance Under the Medicare Drug Benefit
This fact sheet provides an overview of the Medicare drug benefit and the additional subsidies available to certain eligible low-income beneficiaries. Fact Sheet - December 2009 (.
View the Latest: Prescription Drugs
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A Side-by-Side Comparison of the Prescription Drug Coverage Provisions of S.1 and H.R. 1
ReportThis document, prepared by Health Policy Alternatives, Inc., provides a detailed side-by-side comparison of the prescription drug provisions of the House and Senate Medicare proposals, as passed on June 27, 2003. Along with these provisions, the side-by-side compares the major provisions relating to the role of private health plans in Medicare.
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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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Explaining Health Care Reform: What is Comparative Effectiveness Research?
Issue BriefThe brief examines current funding for comparative effectiveness research, the provisions included in the current health reform legislation, and issues related to which treatments that might be studied, whether and how to weigh costs of care, and how such findings will be used and shared with health-care practitioners and the public.
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Paying for Prescribed Drugs in Medicaid: Current Policy and Upcoming Changes
Issue BriefThe federal government has proposed new rules that aim to make Medicaid outpatient drug reimbursement policies more closely match the cost of obtaining and filling prescriptions. However, the change in policy may have varying effects on reimbursement, depending on the state’s current approach and the type of drug in question. This paper explains current Medicaid pharmacy reimbursement methodology and examines the potential effect of the proposed rule changes.
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Snapshots: Comparing Projected Growth in Health Care Expenditures and the Economy
Issue BriefThe rising cost of health care is much in the news.
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Snapshots: Effect of Tying Eligibility for Health Insurance Subsidies to the Federal Poverty Level
Issue BriefConsiderable attention has been paid in recent years to the rapid growth of health insurance premiums and its impact on coverage affordability. Premium growth has far outpaced growth in workers earnings, which means that workers have to spend more of their income each year on health care to maintain current coverage levels.
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A Profile of African Americans, Latinos, and Whites with Medicare:
ReportThis chartpack highlights demographic data about African Americans, Hispanics and whites with Medicare to highlight potential implications for outreach efforts under the new Medicare drug benefit. The information is being used in a series of November 2005 briefings at the start of the first open-enrollment period for the new benefit. Chartpack (.
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Snapshots: Trends in Employer-Sponsored Health Insurance Offer Rates for Workers in Private Businesses
Issue BriefMost Americans receive their health insurance through their own job or the job of a family member; an offer of coverage at work is an important determinant of the likelihood of having private health insurance.
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