Variation in estimated medicare prescription drug plan costs and affordability for beneficiaries living in different states

Journal of General Internal Medicine

Volumn 22, Issue 2, 2007, Pages 257-263

  Davis, Matthew M ^a,b   Patel, Mitesh S ^b   Halasyamani, Lakshmi K ^a,c  

^a UNIVERSITY OF MICHIGAN   (United States)

^b UNIVERSITY OF MICHIGAN MEDICAL SCHOOL   (United States)

^c ST JOSEPH MERCY HOSPITAL   (United States)

Author keywords

Costs; Income; Medicare; Part D; Prescription drug plans

Indexed keywords

ACETYLSALICYLIC ACID; ALENDRONIC ACID; ATENOLOL; ATORVASTATIN; CALCITONIN; CARVEDILOL; CLOPIDOGREL; DILTIAZEM; INSULIN GLARGINE; INSULIN LISPRO; LISINOPRIL; METFORMIN; MORPHINE SULFATE; SERTRALINE; SIMVASTATIN; SPIRONOLACTONE;

AGED; ARTHRITIS; ARTICLE; CARDIOMYOPATHY; CASE REPORT; COST OF LIVING; DEPRESSION; DRUG COST; DRUG PROGRAM; FEMALE; HEART INFARCTION; HOUSEHOLD; HUMAN; HYPERLIPIDEMIA; HYPERTENSION; INCOME; ISCHEMIC HEART DISEASE; MALE; MEDICARE; NON INSULIN DEPENDENT DIABETES MELLITUS; OSTEOPOROSIS; PRESCRIPTION; COMPARATIVE STUDY; COST; ECONOMICS; FEE; HEALTH INSURANCE; INSURANCE; ORGANIZATION AND MANAGEMENT; UNITED STATES;

AGED; COST SHARING; ELIGIBILITY DETERMINATION; FEMALE; HUMANS; INSURANCE BENEFITS; INSURANCE, PHARMACEUTICAL SERVICES; MALE; MEDICARE; PRESCRIPTION FEES; UNITED STATES;

EID: 34250320538     PISSN: 08848734     EISSN: 15251497     Source Type: Journal    
DOI: 10.1007/s11606-006-0018-y     Document Type: Article

References (23)

1. Iglehart JK. The new Medicare prescription-drug benefit-a pure power play. N Engl J Med. 2004;350:826-33.
2. Safran DG, Neuman P, Schoen C, et al. Prescription drug coverage and seniors: findings from a 2003 national survey. Health Aff. 2005;W5:152-66.
3. Piette JD, Heisler M, Wagner TH. Problems paying out-of-pocket medication costs among older adults with diabetes. Diabetes Care. 2004;27:384-91.
4. Piette JD, Heisler M, Horne R, Alexander GC. A conceptually based approach to understanding chronically ill patients' responses to medication cost pressures. Soc Sci Med. 2006;62(4):846-57.
5. Tseng C-W, Brook RH, Keeler E, Steers WN, Mangione CM. Cost-lowering strategies used by Medicare beneficiaries who exceed drug benefit caps and have a gap in drug coverage. JAMA. 2004;292:952-60.
6. Heisler M, Wagner TH, Piette JD. Patient strategies to cope with high prescription medication costs: who is cutting back on necessities, increasing debt, or underusing medications? J Behav Med. 2005;28:43-51.
7. Kennedy EM, Thomas B. Dramatic improvement or death spiral-two members of Congress assess the Medicare bill. N Engl J Med. 2004;350:747-51.
8. Bach PB, McClellan MB. Medicare drug benefit: a prescription for a modern Medicare program. N Engl J Med. 2005;353:2733-5.
9. Bach PB, McClellan MB. The first months of the prescription-drug benefit-a CMS update. N Engl J Med. 2006;354:2312-4.
10. Kaiser Family Foundation. Prescription drug coverage for Medicare beneficiaries: an overview of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003. Available at: http://www.kff.org/medicare/upload/ Prescription-Drug-Coverage-for-Medicare-Beneficiares-An-Overview-of-the- Medicare-Prescription-Drug-Improvement-Act-2003.pdf. Accessed December 19, 2005.
11. Stuart B, Simoni-Wastila L, Chauncey D. Assessing the impact of coverage gaps in the Medicare Part D drug benefit. Health Aff. 2005;W5:167-79.
12. O'Connor GT, Quinton HB, Traven ND, et al. Geographic variation in the treatment of acute myocardial infarction: the Cooperative Cardiovascular Project. JAMA. 1999;281:627-33.
13. Guadagnoli E, Landrum MB, Normand SL, et al. Impact of underuse, overuse, and discretionary use on geographic variation in the use of coronary angiography after acute myocardial infarction. Med Care. 2001;39:446-58.
14. Wennberg DE, Kellet MA, Dickens JD, et al. The association between local diagnostic testing intensity and invasive cardiac procedures. JAMA. 1996;275:1161-4.
15. Kravitz RL, Chang S. Medicare drug benefit: promise and perils for patients and physicians. N Engl J Med. 2005;353:2735-9.
16. Hoadley J, Hargrave E, Cubanski J, Neuman T. An in-depth examination of formularies and other features of Medicare drug plans. Available at: http://www.kff.org/medicare/upload/7489.pdf. Accessed June 26, 2006.
17. Centers for Medicare and Medicaid Services. Medicare current beneficiary survey data: self-reported health conditions and risk factors of non-institutionalized Medicare beneficiaries, by living arrangement and age, 2002. Available at: http://www.cms.hhs.gov/apps/mcbs/CMSsrc/2002/sec2.pdf. Accessed December 20, 2005.
18. U.S. Census Bureau. American Community Survey, 2004: median income for zero wage-earner households, by state. Available at: http://www.census.gov/hhes/ www/income/statemedfaminc.html. Accessed June 20, 2006.
19. National Association of Realtors. The salary calculator. Available at: http://www.homefair.com/homefair/calc/salcalc.html?type=to. Accessed June 20, 2006.
20. Hayes JM, Walczak H, Prochazka A. Comparison of drug regimen costs between the Medicare prescription discount program and other purchasing systems. JAMA. 2005;294:427-8.
21. Kaiser Family Foundation. Online health information poised to become important resource for seniors, but not there yet. Available at: http://www.kff.org/entmedia/entmedia011205nr.cfm. Accessed December 20, 2005.
22. Adams B, Hamilton C. Drug plans' complexity hampers sign-ups. Salt Lake Tribune, December 18, 2005. Available at: http://www.sltrib.com/portlet/article/ html/fragments/print_article.jsp?article=3320969. Accessed December 21, 2005.
23. Pear R. Drug changes are looming, and providers seek answers. New York Times, December 19, 2005. Available at: http://www.nytimes.com/2005/12/19/ politics/19nursing.html?pagewanted=print. Accessed December 21, 2005.