Status report on medicare part D enrollment in 2006: Analysis of plan-specific market share and coverage

Health Affairs

Volumn 26, Issue 1, 2007, Pages

  Cubanski, Juliette ^a   Neuman, Patricia ^a,b  

^a HENRY J KAISER FAMILY FOUNDATION   (United States)

^b Foundation's Medicare Policy Project

Author keywords

[No Author keywords available]

Indexed keywords

AGED; ARTICLE; COST; ECONOMICS; GOVERNMENT; HEALTH CARE COST; HEALTH INSURANCE; HEALTH MAINTENANCE ORGANIZATION; HUMAN; MEDICARE; ORGANIZATION AND MANAGEMENT; PRESCRIPTION; UNITED STATES; UTILIZATION REVIEW;

AGED; COST SHARING; HEALTH CARE COSTS; HEALTH MAINTENANCE ORGANIZATIONS; HUMANS; INSURANCE, PHARMACEUTICAL SERVICES; MEDICARE; PRESCRIPTIONS, DRUG; PRIVATIZATION; UNITED STATES; UNITED STATES CENTERS FOR MEDICARE AND MEDICAID SERVICES;

EID: 33846669084     PISSN: 02782715     EISSN: 02782715     Source Type: Journal    
DOI: 10.1377/hlthaff.26.1.w1     Document Type: Article

References (24)

1. U.S. Department of Health and Human Services, "Over Thirty-eight Million People with Medicare Now Receiving Prescription Drug Coverage," Press Release, 14 June 2006, http://hhs.gov/news/press/2006pres/20060614.html (accessed 1 October 2006).
2. The 2006 standard benefit coverage gap begins after total drug costs exceed the $2,250 initial benefit limit; enrollees pay 100 percent of their costs until they spend $3,600 out of pocket and qualify for catastrophic coverage.
3. Centers for Medicare and Medicaid Services, "Medicare Advantage, Cost, PACE, Demo, and Prescription Drug Plan Organizations - Annual Report by Plan (v07.26.06)," available at "Part D Enrollment Data," 1 September 2006, http://www.cms.hhs.gov/PrescriptionDrugCovGenIn/ 02_EnrollmentData.asp (accessed 23 October 2006).
4. DHHS, "Link to 2006 Source MA Excel file" and "Link to 2006 Source PDP Excel file," available at "2006 Landscape of Local Plans State-by-State Breakdown," 29 September 2006, http://www.medicare. gov/medicarereform/local-plans-2006.asp (accessed 23 October 2006).
5. H. Gleckman, "Plan A: Hook Them with Part D," BusinessWeek, 30 January 2006.
6. D. Draper, M. Gold, and J. McCoy, The Role of National Firms in Medicare+Choice, June 2002, http://www.kff.org/medicare/6045-index.cfm (accessed 23 October 2006).
7. M. Gold, The Landscape of Private Firms Offering Medicare Prescription Drug Coverage in 2006, March 2006, http://www.kff.org/medicare/7474.cfm (accessed 23 October 2006).
8. CMS, "Instructions for 2007 Contract Year," 3 April 2006, http://www.cms.hhs.gov/PrescriptionDrugCovContra/Downloads/2007PDPCallLetter. pdf (accessed 29 August 2006).
9. For 2007, United is consolidating its PacifiCare and AARP PDP options under the AARP marketing name, while retaining Secure Horizons for its MA offerings.
10. Authors' calculations based on data from HHS, 14 June 2006.
11. Authors' calculations of enrollment data from the CMS and from Gold, The Landscape of Private Firms.
12. See Medicare Payment Advisory Commission, "Part D Plan Offerings," chap. 7 in Report to the Congress: Increasing the Value of Medicare, June 2006, http://www.medpac.gov/publications/ congressional_reports/Jun06_EntireReport.pdf (accessed 1 October 2006).
13. For a more detailed discussion of MA payment policies, see MedPAC, "Medicare Advantage Program Payment System," September 2006, http://www.medpac.gov/publications/other_reports/ Sept06_MedPAC_Payment_Basics_MA.pdf (accessed 2 October 2006).
14. M. Gold, Premium and Cost Sharing Features in Medicare's New Prescription Drug Program, 2006, May 2006, http://www.kff.org/medicare/7517. cfm (accessed 23 October 2006).
15. J. Mays et al., Estimates of Medicare Beneficiaries' Out-of-Pocket Drug Spending in 2006, November 2004, http://www.kff.org/medicare/7201.cfm (accessed 23 October 2006).
16. Henry J. Kaiser Family Foundation, "The Medicare Prescription Drug Benefit - An Updated Fact Sheet," November 2006, http://www.kff.org/ medicare/7044.cfm (accessed 10 November 2006).
17. Mays et al., Estimates;
18. America's Health Insurance Plans, "Approximately Three Million Seniors Will Reach the Medicare Part D 'Coverage Gap' in 2006," Press Release, 21 September 2006, http://www.ahip.org/content/pressrelease.aspx?docid= 17579 (accessed 5 October 2006);
19. and PricewaterhouseCoopers LLP, "Significance of the Coverage Gap under Medicare Part D," 15 June 2006, http://www.hlc.org/ HLC_Coverage_Gap_Research_Report_FINAL.pdf (accessed 1 October 2006).
20. Authors' calculations based on data from CMS Source PDP Excel file (see Note 4).
21. Kaiser Family Foundation, "Kaiser Health Poll Report Survey: Seniors' Early Experiences with Their New Medicare Drug Plans - June 2006," July 2006, http://www.kff.org/kaiserpolls/pomr072706pkg.cfm (accessed 23 October 2006).
22. HHS, "Medicare Releases Data on 2007 Drug Plan Options," Press Release, 29 September 2006, http://www.hhs.gov/news/press/2006pres/20060929.html (accessed 9 October 2006).
23. Kaiser Family Foundation, "Voices of Beneficiaries: Early Experiences with the Medicare Drug Benefit," April 2006, http://www.kff.org/medicare/7504.cfm (accessed 23 October 2006).
24. J. Hsu et al., "Unintended Consequences of Caps on Medicare Drug Benefits," New England Journal of Medicine 354, no. 22 (2006): 2349-2359.