A drug benefit: the necessary prescription for Medicare
Given statistics about how much older Americans pay in drug costs, the question is how best to structure a prescription drug benefit, not whether one is desirable or necessary. Several key challenges exist: 1. eligibility, 2. affordability, 3. cost containment, 4. existing coverage, and 5. financing...
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Published in: | Health affairs (Millwood, Va.) Vol. 18; no. 4; pp. 20 - 22 |
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Format: | Journal Article |
Language: | English |
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United States
The People to People Health Foundation, Inc., Project HOPE
01-07-1999
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Abstract | Given statistics about how much older Americans pay in drug costs, the question is how best to structure a prescription drug benefit, not whether one is desirable or necessary. Several key challenges exist: 1. eligibility, 2. affordability, 3. cost containment, 4. existing coverage, and 5. financing. The AARP is committed to working with leaders on both sides of the aisle, as well as the industry and health plans, to promote a reasonable, workable, and overdue plan. |
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AbstractList | [...]those with individually purchased supplemental (Medigap) insurance that provides limited drug coverage (Plans H, I, and J), who already pay high premiums because of adverse selection, face premium increases that threaten the affordability of that coverage. The pharmaceutical industry should not object to a Medicare drug benefit that is administered in ways similar to other health plans, where pricing decisions are kept in the private sector or where private-sector prices are the standard for Medicare payments. Since PBMs usually limit access to some drugs, a choice of PBMs may be appropriate. [...]as in most health policy, the key challenge is financing. Given statistics about how much older Americans pay in drug costs, the question is how best to structure a prescription drug benefit, not whether one is desirable or necessary. Several key challenges exist: 1. eligibility, 2. affordability, 3. cost containment, 4. existing coverage, and 5. financing. The AARP is committed to working with leaders on both sides of the aisle, as well as the industry and health plans, to promote a reasonable, workable, and overdue plan. |
Author | Rother, J |
Author_xml | – sequence: 1 givenname: J surname: Rother fullname: Rother, J organization: AARP, Washington, D.C., USA |
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Copyright | Copyright Project Hope Jul/Aug 1999 Copyright The People to People Health Foundation, Inc., Project HOPE Jul/Aug 1999 |
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Snippet | Given statistics about how much older Americans pay in drug costs, the question is how best to structure a prescription drug benefit, not whether one is... [...]those with individually purchased supplemental (Medigap) insurance that provides limited drug coverage (Plans H, I, and J), who already pay high premiums... |
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SubjectTerms | Adverse selection Associations Beneficiaries Cost control Cost Control - legislation & jurisprudence Drug Costs - legislation & jurisprudence Drug stores Drug therapy Employers Geriatrics Government programs Health care policy Health insurance Health maintenance organizations Health policy Health services HMOs Humans Insurance coverage Insurance, Pharmaceutical Services - legislation & jurisprudence Interest groups Medicaid Medicare Medicare - legislation & jurisprudence Medicare Prescription Drug Improvement & Modernization Act 2003-US Mental health Mental health care Pharmaceutical industry Pharmacy benefit management Prescription drugs Prices Private sector Public policy Reimbursement Retirees United States Willingness to pay |
Title | A drug benefit: the necessary prescription for Medicare |
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