Lessons learned: Who didn't enroll in medicare drug coverage in 2006, and why?

Health Affairs

Volumn 29, Issue 6, 2010, Pages 1255-1263

  Davidoff, Amy J ^a   Stuart, Bruce ^b   Shaffer, Thomas ^b   Shoemaker, J Samantha ^b   Kim, Melissa ^c   Zacker, Christopher ^d  

^a UNIVERSITY OF MARYLAND SCHOOL OF PHARMACY   (United States)

^b UNIVERSITY OF MARYLAND   (United States)

^c UNIVERSITY OF MARYLAND   (United States)

^d NOVARTIS PHARMA AG   (Switzerland)

Author keywords

[No Author keywords available]

Indexed keywords

PRESCRIPTION DRUG;

ARTICLE; HEALTH CARE ACCESS; HEALTH CARE COST; HEALTH INSURANCE; LOWEST INCOME GROUP; MEDICARE; AGED; ECONOMICS; HEALTH CARE POLICY; HUMAN; ORGANIZATION AND MANAGEMENT; POVERTY; STATISTICS; UNITED STATES; UTILIZATION REVIEW;

AGED; ELIGIBILITY DETERMINATION; HEALTH CARE REFORM; HUMANS; MEDICARE PART D; POVERTY; PRESCRIPTION DRUGS; UNITED STATES;

EID: 77956903178     PISSN: 02782715     EISSN: 15445208     Source Type: Journal    
DOI: 10.1377/hlthaff.2009.0002     Document Type: Article

References (26)

1. McClellan M. Helping those who need it most: low-income seniors and the new Medicare law [Internet]. Statement before the Senate Committee on Aging. Baltimore (MD): Centers for Medicare and Medicaid Services; 2004 Jul 19 [cited 2010 Apr 29]. Available from: http://www.hhs.gov/asl/testify/t040719.html
2. Adams AS, Soumerai SB, Ross-Degnan D. The case for a Medicare drug coverage benefit: a critical review of the empirical evidence. Annu Rev Public Health. 2001;22(1):49-61. (Pubitemid 32452497)
3. Briesacher B, Stuart B, Poisal J, Doshi J, Singhal P. Methodological issues in estimating prescription drug coverage using the Medicare Current Beneficiary Survey. Washington (DC): AARP Public Policy Institute; 2006.
4. Soumerai SB, Ross-Degnan D. Inadequate prescription-drug coverage for Medicare enrollees - a call to action. N Engl J Med. 1999;340(9):722-8. (Pubitemid 29110758)
5. Safran DG, Neuman P, Schoen C, Kitchman MS, Wilson IB, Cooper B, et al. Prescription drug coverage and seniors: findings from a 2003 national survey. Health Aff (Millwood). 2005;24:w5-152-66.
6. Kaiser Family Foundation. The Medicare prescription drug benefit [Internet]. Fact Sheet. Menlo Park (CA): Kaiser Family Foundation; 2006 [cited 2010 Apr 29]. Available from: http://www.kff.org/medicare/upload/7044-05.pdf
7. Congressional Budget Office. A detailed description of CBO's cost estimate for the Medicare prescription drug benefit [Internet]. Washington (DC): CBO; 2004 Jun [cited 2010 Apr 29]. Available from: http://www.cbo.gov/ftpdocs/ 56xx/doc5668/07-21-Medicare.pdf
8. Although a small proportion of our sample had drug coverage earlier during the year, they lacked coverage at the time when they would be making decisions about Part D enrollment.
9. The "other supplemental coverage" group included those in Medicare Advantage plans or Medicare Savings Programs without drug coverage. The categories were too small to include separately.
10. The Appendix is available by clicking on the Appendix link in the box to the right of the article online.
11. Centers for Medicare and Medicaid Services. 2007 enrollment information: total with coverage. In: Prescription drug coverage, general information: overview. Baltimore (MD): CMS; 2007.
12. Heiss F, McFadden D, Winter J. Who failed to enroll in Medicare Part D, and why? Early results. Health Aff (Millwood). 2006;25(5):w344-54.
13. Neuman P, Strollo MK, Guterman S, Rogers WH, Li A, Rodday AM, et al. Medicare prescription drug benefit progress report: findings from a 2006 national survey of seniors. Health Aff (Millwood). 2007;26(5):w630-43.
14. Levy H, Weir D. Take-up of Medicare Part D and the SSA subsidy: early results from the Health and Retirement Study. J Gerontol B Psychol Sci Soc Sci. 2009 Dec 24.
15. U.S. Department of Health and Human Services [Internet]. Washington (DC): DHHS. Press release, Over 38 million people with Medicare now receiving prescription drug coverage; 2006 Jun 14 [cited 2010 Apr 29]. Available from: http://www.hhs.gov/news/press/2006pres/20060614.html
16. Neuman and colleagues (Note 13) reported that among elderly beneficiaries without drug coverage in 2005, 60.7 percent enrolled in Part D, and only 20.2 percent remained uninsured. The differences between these estimates and our results may be due to their exclusion of nonelderly disabled beneficiaries. Heiss and colleagues (Note 12) reported that 23.8 percent of elderly beneficiaries with the option of enrolling in Part D remained without drug coverage by mid-2006.
17. Centers for Medicare and Medicaid Services. 2007 enrollment information: LIS by state. In: Prescription drug coverage, general information: overview. Baltimore (MD): CMS; 2007.
18. Kaiser Family Foundation. Low-income assistance under the Medicare drug benefit [Internet]. Fact Sheet. Menlo Park (CA): Kaiser Family Foundation; 2008 Feb [cited 2010 Apr 29]. Available from: http://www.kff.org/medicare/upload/ 7327-04.pdf
19. Kaiser Family Foundation. Lowincome assistance under the Medicare drug benefit [Internet]. Fact Sheet. Menlo Park (CA): Kaiser Family Foundation; 2007 Jul [cited 2010 Apr 29]. Available from: http://www.kff.org/medicare/upload/ 7327-03.pdf
20. Summer L, Nemore P, Finberg J. Improving the Medicare Part D program for the most vulnerable beneficiaries. New York (NY): Commonwealth Fund; 2007.
21. Access to Benefits Coalition and National Council on Aging. The next steps: strategies to improve the Medicare Part D low-income subsidy [Internet]. Washington (DC): National Council on Aging; 2007 Jan [cited 2010 Apr 29]. Available from: http://www.accesstobenefits.org/library/pdf/TheNextSteps.pdf
22. Center for Medicare Advocacy. Important new Medicare law provisions: a beneficiary's perspective (part I) [Internet]. Washington (DC): Center for Medicare Advocacy; 2008 [cited 2010 May 4]. Available from: http:// medicareadvocacy.org/InfoByTopic/Reform/Reform-08-08.07.MIPPAKeyProvisions.htm
23. Lichtenberg FR, Sun SX. The impact of Medicare Part D on prescription drug use by the elderly. Health Aff (Millwood). 2007;26(6):1735-44.
24. Madden JM, Graves AJ, Zhang F, Adams AS, Briesacher BA, Ross-Degnan D, et al. Cost-related medication nonadherence and spending on basic needs following implementation of Medicare Part D. JAMA. 2008;299(16):1922-8. (Pubitemid 351574922)
25. Khan N, Kaestner R, Lin SJ. Effect of prescription drug coverage on the elderly's use of prescription drugs. Inquiry. 2009;46(1):33-45.
26. Yin W, Basu A, Zhang JX, Rabbani A, Meltzer DO, Alexander GC. The effect of the Medicare Part D prescription benefit on drug utilization and expenditures. Ann Intern Med. 2008;148(3):169-77. (Pubitemid 351665504)