Medicare coverage for patients with diabetes: A national plan with individual consequences

Journal of General Internal Medicine

Volumn 21, Issue 4, 2006, Pages 386-392

  Ashkenazy, R ^a,b   Abrahamson, M J ^a  

^a HARVARD MEDICAL SCHOOL   (United States)

^b NONE   (United States)

Author keywords

Diabetes; Medicare; Prescription drug plan

Indexed keywords

ANTIDIABETIC AGENT; ATORVASTATIN; GLIBENCLAMIDE; HUMALOG MIX 75/25; HUMALOG MIX 75/25 PEN; HUMALOG PEN; HUMULIN 50/50; HUMULIN 70/30; HUMULIN 70/30 PEN; HUMULIN L; HUMULIN N PEN; HUMULIN U; INSULIN; INSULIN ASPART; INSULIN GLARGINE; INSULIN GLULISINE; INSULIN LISPRO; ISOPHANE INSULIN; LISINOPRIL; METFORMIN; NOVOLIN 70/30; NOVOLIN 70/30 INNOLET; NOVOLIN 70/30 PENFILL; NOVOLIN N INNOLET; NOVOLIN N PEN; NOVOLIN R; NOVOLIN R INNOLET; NOVOLIN R PENFILL; NOVOLOG FLEXPEN; NOVOLOG MIX 70/30 FLEXPEN; ORAL ANTIDIABETIC AGENT;

BUDGET; CONSULTATION; DEVICE; DIABETES MELLITUS; DRUG COST; HEALTH INSURANCE; HEALTH SERVICES RESEARCH; HUMAN; LAW; MEDICARE; MONEY; MONITORING; PATIENT ADVOCACY; PATIENT EDUCATION; PRESCRIPTION; PREVENTIVE MEDICINE; REIMBURSEMENT; REVIEW; SCREENING TEST; UNITED STATES;

AGED; DIABETES MELLITUS; FORMULARIES; HUMANS; HYPOGLYCEMIC AGENTS; INSURANCE COVERAGE; INSURANCE, PHARMACEUTICAL SERVICES; MEDICARE; UNITED STATES;

EID: 33646260470     PISSN: 08848734     EISSN: 15251497     Source Type: Journal    
DOI: 10.1111/j.1525-1497.2006.00403.x     Document Type: Review

References (31)

1. Centers for Disease Control, National Diabetes Surveillance System. Available at Accessibility verified December 27, 2005
2. Centers for Medicare and Medicaid. Medicare Fact Sheet: Medicare health support to improve care of beneficiaries with chronic illnesses. Public Affairs Office. Available at Accessibility verified December 27, 2005
3. Centers for Medicare and Medicaid Available at Accessibility verified December 27, 2005
4. Mokdad AH Ford ES Bowman BA et al Diabetes trends in the U.S. 1990-1998 Diabetes Care 2000 23 1278 83
5. Engelgau MM Geiss LS Saaddine JB et al The evolving diabetes burden in the United States Ann Intern Med 2004 140 945 50
6. McBean AM Gilbertson DT Collins AJ Differences in diabetes prevalence, incidence, and mortality among the elderly of four racial/ethnic groups whites, blacks, hispanics, and asians Diabetes Care 2004 27 2317 24
7. Boyle JP Honeycutt AA Venkat Narayan KM et al Projection of diabetes burden through 2050 impact of changing demography and disease prevalence in the U.S Diabetes Care 2001 24 1936 40
8. Hogan P Dall T Nikolov P American Diabetes Association. Economic costs of diabetes in the US in 2002 Diabetes Care 2003 26 917 32
9. Carol EK Steven JB Nancy B Donald OF Glycemic control from 1988 to 2000 among U.S. adults diagnosed with type 2 diabetes a preliminary report Diabetes Care 2004 27 17 20
10. Centers for Medicare and Medicaid. Legislative Summary: Balanced Budget Act of 1997 Medicare and Medicaid Provisions. Available at Accessibility verified December 27, 2005
11. Centers for Medicare and Medicaid. Press Release. Hcfa announces sites for new coordinated care demonstration to improve care to chronically ill. January 19, 2001. Available at Accessibility verified December 27, 2005
12. Centers for Medicare and Medicaid Press Release. Medicare using telemedicicne to help diabetics. March 20, 2000. Available at Accessibility verified December 27, 2005
13. Ellis JD Evans JM Ruta DA et al Glaucoma incidence in an unselected cohort of diabetic patients is diabetes mellitus a risk factor for glaucoma? DARTS/MEMO collaboration. Diabetes Audit and Research in Tayside Study. Medicines Monitoring Unit Br J Ophthalmol 2000 84 1218 24
14. Centers for Medicare and Medicaid Press release. Medicare revises medical nutrition therapy policy. March 1, 2002. Available at Accessibility verified December 27, 2005
15. Centers for Medicare and Medicaid Medicare Fact Sheet. Help for Chronically Ill Beneficiaries: The Medicare disease management demonstration. December 2, 2003. Available at Accessibility verified December 27, 2005
16. Centers for Medicare and Medicaid. Press release. Medicare will cover insulin pumps for beneficiaries. September 24, 1999. Available at Accessibility verified December 27, 2005
17. Centers for Medicare and Medicaid. Decision Memo for Insulin Pump: C-Peptide Levels as a Criterion for Use (CAG-00092N). Available at Accessibility verified December 27, 2005
18. Centers for Medicare and Medicaid. Decision Memo for Insulin Pump: C-Peptide Levels as a Criterion for Use (CAG-00092R). Available at Accessibility verified December 27, 2005
19. Kaiser Family Foundation The Medicare Prescription Drug Benefit-Fact Sheet. Available at Accessibility verified December 21, 2005
20. Centers for Medicare and Medicaid. Formulary Review Guidelines. Available at Accessibility verified December 21, 2005
21. United States Pharmacopeia's (USP) Final Medicare Model Guidelines Available at Accessibility verified December 21, 2005
22. Joslin Diabetes Center Press release. Joslin Diabetes Center Collaborator Awarded Medicare Chronic Care Improvement Pilot Project. December 20, 2004. Available at Accessibility verified December 21, 2005
23. Centers for Medicare and Medicaid CMS Demonstration Projects under the Medicare Modernization Act as of January 24, 2005. Available at Accessibility verified December 27, 2005
24. Institute of Medicine Care Without Coverage: Too Little Too Late Washington, DC National Academies Press 2002
25. Jackson JE Doescher MP Saver BG Fishman P Prescription drug coverage, health, and medication acquisition among seniors with one or more chronic conditions Med Care 2004 42 1056 65
26. Piette JD Wagner TH Potter MB Schillinger D Health insurance status, cost-related medication underuse, and outcomes among diabetes patients in three systems of care Med Care 2004 42 102 9
27. Tricia NT Cubanski J Claxton G Estimates of Medicare Beneficiaries' Out-of-Pocket Drug Spending in 2006. The Henry J. Kaiser Family Foundation. November 2004. Available at Accessibility verified on December 27, 2005
28. Nemore P Medicare Part D: Issues for Dual Eligibles on the Eve of Implementation. November 2005. Henry J. Kaiser Family Foundation. Available at Accessibility verified on December 27, 2005
29. Jensen R The New Medicare Prescription Drug Law: Issues for Enrolling Dual Eligibles into Drug Plans. Kaiser commission on medicaid and the uninsured. January 2005. Available at Accessibility verified on December 27, 2005
30. Saver BG Doescher MP Jackson JE Fishman P Seniors with chronic health conditions and prescription drugs: benefits, wealth, and health Value Health 2004 7 133 43
31. Anderson GF Shea DG Hussey PS Keyhani S Zephyrin L Doughnut holes and price controls Health Aff (Millwood) 2004 suppl web exclusives W4-396 404