Impact of medicare part D on medicare-medicaid dual-eligible beneficiaries' prescription utilization and expenditures

Health Services Research

Volumn 45, Issue 1, 2010, Pages 133-151

  Basu, Anirban ^a,b,d   Yin, Wesley ^c   Alexander, G Caleb ^a  

^a UNIVERSITY OF CHICAGO   (United States)

^b NATIONAL BUREAU OF ECONOMIC RESEARCH   (United States)

^c USA   (United States)

^d 5841 S Maryland Ave ^*  (United States)

Author keywords

Dual eligibles; Medicare Part D; Out of pocket costs; Prescription utilization

Indexed keywords

AGED; ARTICLE; CONTROLLED STUDY; DRUG COST; DRUG USE; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAID; MEDICARE; PHARMACY; PILL; PRESCRIPTION; REIMBURSEMENT; TREATMENT DURATION;

AGED; DRUG PRESCRIPTIONS; DRUG UTILIZATION REVIEW; ELIGIBILITY DETERMINATION; FEES, PHARMACEUTICAL; FEMALE; FINANCING, PERSONAL; HUMANS; INSURANCE CLAIM REVIEW; MALE; MEDICAID; MEDICARE PART D; MIDDLE AGED; PATIENT ACCEPTANCE OF HEALTH CARE; UNITED STATES;

EID: 74549202093     PISSN: 00179124     EISSN: 14756773     Source Type: Journal    
DOI: 10.1111/j.1475-6773.2009.01065.x     Document Type: Article

References (23)

1. Bach, P. B. M. B. McClellan. 2006 The First Months of the Prescription-Drug Benefit - A CMS Update New England Journal of Medicine 354 : 2312 2314.
2. Bishop, C., C. P. Thomas, D. Gilden J. Kubisiak. 2009. Enrollment of Dually Eligible Beneficiaries in Medicare Part D Plans: Autoassignment and Choice. Academy Health Annual Research Meeting (Abstract), Chicago, IL.
3. Crowley, J., D. Ashner L. Elam. 2005. State Medicaid Outpatient Prescription Drug Policies: Findings from a National Survey, 2005 Update [accessed on June 1, 2009]. Menlo Park, CA: The Kaiser Commission on Medicaid and the Uninsured. Available at
4. Fox, K. L. Schofield. 2006. The Pharmacy Coverage Safety Net: Variations in State Responses to Supplement Medicare Part D. Mimeo, University of Southern Maine.
5. Frank, R. G. J. P. Newhouse. 2008 Should Drug Prices Be Negotiated under Part D of Medicare? And If So, How? Health Affairs 27 (1) : 33 43.
6. General Accountability Office (GAO). 2005. Contingency Plans to Address Potential Problems with the Transition of Dual-Eligible Beneficiaries from Medicaid to Medicare Drug Coverage. GAO-06-278R, transmitted from GAO to Senate Finance Committee on December 16, 2005, by letter from Kathleen M. King, Director, Health Care, GAO, to Senator Max Baucus.
7. Hall, J. P., N. K. Kurth J. M. Moore. 2007 Transition to Medicare Part D: An Early Snapshot of Barriers Experienced by Younger Dual Eligibles with Disabilities American Journal of Managed Care 13 (1) : 14 8.
8. Health and Human Services Commission Report. 2007. "Analysis of Multi-State Medicaid Drug Purchasing Pool" [accessed on March 10, 2009]. Available at
9. Kaiser Commission on Medicaid and the Uninsured. 2006. "Deficit Reduction Act of 200: Implications for Medicaid" [accessed on March 10, 2009]. Available at
10. Levinson, D. R. 2006. "Dual Eligibles' Transition: Part D Formularies' Inclusion of Commonly used Drugs." Inspector General's Office, Department of Health and Human Services [accessed on March 2008]. Available at
11. Lichtenberg, F. S. Sun. 2007 The Impact of Medicare Part D on Prescription Drug Use by the Elderly: Evidence from a Large Retail Pharmacy Chain Health Affairs 26 : 1735 1744.
12. Madden, J. M., A. J. Graves, F. Zhang, A. S. Adams, B. A. Briesacher, D. Ross-Degnan, J. H. Gurwitz, M. Pierre-Jacques, D. G. Safran, G. S. Adler S. B. Soumerai. 2008 Cost-Related Medication Nonadherance and Spending on Basic Needs Following Implementation of Medicare Part D Journal of the American Medical Association 299 (16) : 1922 1928.
13. Marshall, J. K., P. V. Grootendorst, B. J. O'Brien, L. R. Dolovich, A. M. Holbrook A. R. Levy. 2002 Impact of Reference-Based Pricing for Histamine-2 Receptor Antagonists and Restricted Access for Proton Pump Inhibitors in British Columbia Canadian Medical Association Journal 166 (13) : 1655 1662.
14. Moon, S. J. Shin. 2006 Health Care Utilization among Medicare-Medicaid Dual Eligibles: A Count Data Analysis British Medical Journal Public Health 6 : 88.
15. Neuman, P., M. K. Strollo, S. Guterman, W. H. Rogers, A. Li, A. M. C. Rodday D. G. Safran. 2007 Medicare Prescription Drug Benefit Progress Report: Findings from a 2006 National Survey of Seniors Health Affairs 26 (5) : w630 43.
16. Pauly, M. V. 2004 Medicare Drug Coverage and Moral Hazard Health Affairs (Millwood) 23 : 113 122.
17. Shrank, W. H., A. R. Patrick, A. Pedan, J. M. Polinski, L. Varasteh, R. Levin, N. Liu S. Schneeweiss. 2008 The Effect of Transitioning to Medicare Part D Drug Coverage in Seniors Dually Eligible for Medicare and Medicaid Journal of the American Geriatric Society 56 (12) : 2304 2310.
18. Smith, V., K. Gifford, S. Kramer L. Elam. 2006. The Transition of Dual Eligibles to Medicare Part D Prescription Drug Coverage: State Actions during Implementation. Results from a 50-State Snapshot.
19. Stuart, B. 2008 Where Are the Medicare Part D Claims Data? Annals of Internal Medicine 148 : 1 2.
20. Stuart, B. P. Singhal. 2006. The Stability of Medicaid Coverage for Low-Income Dually Eligible Medicare Beneficiaries. Menlo Park, CA: Kaiser Family Foundation Policy Brief. Publication #7512.
21. Wang, P. S., A. R. Patrick, C. R. Dormuth, J. Avorn, M. Maclure, C. F. Canning S. Schneewiss. 2008 The Impact of Cost Sharing on Antidepressant Use among Older Adults in British Columbia Psychiatric Services 59 : 377 383.
22. West, J. C., J. E. Wilk, I. L. Muszynski, D. S. Rae, M. Rubio-Stipec, C. L. Alter, W. E. Narrow D. A. Regier. 2007 Medication Access and Continuity: The Experiences of Dual-Eligible Psychiatric Patients during the First 4 Months of the Medicare Prescription Drug Benefit American Journal of Psychiatry 164 (5) : 789 796.
23. Yin, W., A. Basu, J. Zhang, A. Rabbani, D. O. Meltzer G. C. Alexander. 2008 Impact of the Medicare Part D Prescription Drug Benefit on Drug Utilization and Out-of-Pocket Expenditures Annals of Internal Medicine 148 : 169 177.