Medicare Part D Research and Policy Highlights, 2012: Impact and Insights

Clinical Therapeutics

Volumn 34, Issue 4, 2012, Pages 904-914

  Lau, Denys T ^a   Stubbings, JoAnn ^a  

^a UNIVERSITY OF ILLINOIS AT CHICAGO   (United States)

Author keywords

Beneficiaries; Drug benefits; Drug costs; Medicare Part D

Indexed keywords

ANGIOTENSIN 2 RECEPTOR ANTAGONIST; ANTIDEPRESSANT AGENT; DIPEPTIDYL CARBOXYPEPTIDASE INHIBITOR; NEUROLEPTIC AGENT; ORAL ANTIDIABETIC AGENT;

ARTICLE; COST CONTROL; COST EFFECTIVENESS ANALYSIS; DECISION MAKING; DRUG COST; DRUG UTILIZATION; ETHNIC DIFFERENCE; HEALTH CARE COST; HEALTH CARE PERSONNEL; HEALTH CARE PLANNING; HEALTH CARE POLICY; HEALTH CARE QUALITY; HEALTH SERVICE; HUMAN; MEDICAID; MEDICAL LITERATURE; MEDICAL RESEARCH; MEDICARE; MEDICATION THERAPY MANAGEMENT; PEER REVIEW; PRESCRIPTION; RACE DIFFERENCE;

HEALTH POLICY; HEALTH SERVICES RESEARCH; MEDICARE PART D; UNITED STATES;

EID: 84859565844     PISSN: 01492918     EISSN: 1879114X     Source Type: Journal    
DOI: 10.1016/j.clinthera.2012.02.012     Document Type: Article

References (43)

1. Lau D.T., Briesacher B.A., Touchette D.R., et al. Medicare Part D and quality of prescription medication use in older adults. Drugs Aging 2011, 28:797-807.
2. Announcement of calendar year 2012 Medicare Advantage capitation rates and Medicare Advantage and Part D payment policies and final call letter Centers for Medicare and Medicaid Services, Accessed January 3, 2012. https://www.cms.gov/PrescriptionDrugCovContra/Downloads/Announcement2012final.pdf.
3. Annual release of Part D national average bid amount and other Part D & D bid related information Centers for Medicare and Medicaid Services, Accessed January 3, 2012. http://www.cms.gov/MedicareAdvtgSpecRateStats/Downloads/PartDandMABenchmarks2012.pdf.
4. Hoadley J., Cubanski J., Hargrave E., et al. Medicare Part D: A first look at Part D plan offerings in 2012. Kaiser Family Foundation Data Spotlight, October 2011 Accessed January 3, 2012. http://www.kff.org/medicare/upload/8245.pdf.
5. DePue R.J., Stubbings J.A. Medicare Part D policy update and implications for 2010. Am J Manag Care 2010, 16:e1117-e1120.
6. Stubbings J.A., DePue R.J. Medicare Part D: Selected issues for plan sponsors, pharmacists, and beneficiaries in 2009. Am J Manag Care 2009, 15:645-649.
7. Medicare Part D prescription drug plan (PDP) availability in 2012 Kaiser Family Foundation, Accessed January 3, 2012. http://www.kff.org/medicare/upload/7426-08.pdf.
8. Abaluck J., Gruber J. Choice inconsistencies among the elderly: evidence from plan choice in the Medicare Part D Program. Am Econ Rev 2011, 101:1180-1210.
9. Hanoch Y., Wood S., Barnes A., et al. Choosing the right Medicare prescription drug plan: the effect of age, strategy selection, and choice set size. Health Psychol 2011, 30:719-727.
10. Wood S., Hanoch Y., Barnes A., et al. Numeracy and Medicare Part D: the importance of choice and literacy for numbers in optimizing decision making for Medicare's prescription drug program. Psychol Aging 2011, 26:295-307.
11. Szrek H., Bundorf M.K. Age and the purchase of prescription drug insurance by older adults. Psychol Aging 2011, 26:308-320.
12. Cutler T.W., Stebbins M.R., Smith A.R., et al. Promoting access and reducing expected out-of-pocket prescription drug costs for vulnerable Medicare beneficiaries: a pharmacist-directed model. Med Care 2011, 49:343-347.
13. Alston G., Hanrahan C. Can a pharmacist reduce annual costs for Medicare Part D enrollees?. Consult Pharm 2011, 26:182-189.
14. Briesacher B.A., Zhao Y., Madden J.M., et al. Medicare part D and changes in prescription drug use and cost burden: national estimates for the Medicare population, 2000 to 2007. Med Care 2011, 49:834-841.
15. Liu F.X., Alexander G.C., Crawford S.Y., et al. The impact of Medicare Part D on out-of-pocket costs for prescription drugs, medication utilization, health resource utilization, and preference-based health utility. Health Serv Res 2011, 46:1104-1123.
16. Chen J., Rizzo J.A., Ortega A.N. Racial and ethnic differences in drug expenditures and access under Medicare Part D. J Health Care Poor Underserved 2011, 22:1059-1074.
17. Ettner S.L., Steers W.N., Turk N., et al. Drug benefit changes under Medicare advantage part D: heterogeneous effects on pharmaceutical use and expenditures. J Gen Intern Med 2011, 26:1195-1200.
18. Zhang Y., Donohue J.M., Lave J.R., Gellad W.F. The impact of Medicare Part D on medication treatment of hypertension. Health Serv Res 2011, 46:185-198.
19. Conwell L.J., Esposito D., Garavaglia S., et al. Out-of-pocket drug costs and drug utilization patterns of postmenopausal Medicare beneficiaries with osteoporosis. Am J Geriatr Pharmacother 2011, 9:241-249.
20. Kennedy J.J., Maciejewski M., Liu D., Blodgett E. Cost-related nonadherence in the Medicare program: the impact of Part D. Med Care 2011, 49:522-526.
21. Urmie J.M., Farris K.B., Doucette W.R., Goedken A.M. Effect of Medicare Part D and insurance type on Medicare beneficiary access to prescription medication and use of prescription cost-saving measures. J Am Pharm Assoc (2003) 2011, 51:72-81.
22. Polinski J.M., Shrank W.H., Huskamp H.A., et al. Changes in drug utilization during a gap in insurance coverage: an examination of the Medicare Part D coverage gap. PLoS Med 2011, 8:e1001075.
23. Tamariz L., Uribe C.L., Luo J., et al. Persistence with biologic therapies in the Medicare coverage gap. Am J Manag Care 2011, 17:753-759.
24. Frankenfield D.L., Howell B.L., Wei I.I., Anderson K.K. Cost-related nonadherence to prescribed medication therapy among Medicare Part D beneficiaries with end-stage renal disease. Am J Health Syst Pharm 2011, 68:1339-1348.
25. Stuart B., Simoni-Wastila L., Yin X., et al. Medication use and adherence among elderly Medicare beneficiaries with diabetes enrolled in Part D and retiree health plans. Med Care 2011, 49:511-515.
26. Zhang L., Zakharyan A., Stockl K.M., et al. Mail-order pharmacy use and medication adherence among Medicare Part D beneficiaries with diabetes. J Med Econ 2011, 14:562-567.
27. Sanglier T., Saragoussi D., Milea D., et al. Comparing antidepressant treatment patterns in older and younger adults: a claims database analysis. J Am Geriatr Soc 2011, 59:1197-1205.
28. Donohue J.M., Zhang Y., Aiju M., et al. Impact of Medicare Part D on antidepressant treatment, medication choice, and adherence among older adults with depression. Am J Geriatr Psychiatry 2011, 19:989-997.
29. West J.C., Rae D.S., Mojtabai R., et al. Clinically unintended medication switches and inability to prescribe preferred medications under Medicare Part D. J Psychopharmacol 2011 Jun 21, [Epub ahead of print].
30. Afendulis C.C., He Y., Zaslavsky A.M., Chernew M.E. The impact of Medicare Part D on hospitalization rates. Health Serv Res 2011, 46:1022-1038.
31. McWilliams J.M., Zaslavsky A.M., Huskamp H.A. Implementation of Medicare Part D and nondrug medical spending for elderly adults with limited prior drug coverage. JAMA 2011, 306:402-409.
32. Hong S.H., Liu J., Wang J., et al. Conjoint analysis of patient preferences on Medicare medication therapy management. J Am Pharm Assoc (2003) 2011, 51:378-387.
33. Perera P.N., Guy M.C., Sweaney A.M., Boesen K.P. Evaluation of prescriber responses to pharmacist recommendations communicated by fax in a medication therapy management program (MTMP). J Manag Care Pharm 2011, 17:345-354.
34. Moczygemba L.R., Barner J.C., Lawson K.A., et al. Impact of telephone medication therapy management on medication and health-related problems, medication adherence, and Medicare Part D drug costs: a 6-month follow up. Am J Geriatr Pharmacother 2011, 9:328-338.
35. Prescription Drug Benefit Manual: Chapter 5-Benefits and beneficiary protection (v09.20.11) Centers for Medicare & Medicaid Services, US Dept of Health and Human Services, Accessed January 3, 2012. http://www.cms.gov/PrescriptionDrugCovContra/Downloads/MemoPDBManualChapter5_09.30.11.pdf.
36. Medicare program; changes to the Medicare Advantage and the Medicare Prescription Drug Benefit Programs for contract year 2012 and other changes. Final rule. Fed Regist 2011, 76:21431-21577. Centers for Medicare & Medicaid Services, US Dept of Health and Human Services.
37. Closing the coverage gap-Medicare prescription drugs are becoming more affordable. CMS Product No. 11493 Centers for Medicare & Medicaid Services, US Dept of Health and Human Services, Accessed January 3, 2012. http://www.medicare.gov/publications/pubs/pdf/11493.pdf.
38. Eligibility, enrollment and disenrollment. Revised November 16, 2011 Centers for Medicare & Medicaid Services, US Dept of Health and Human Services, Accessed January 3, 2012. http://www.cms.gov/MedicarePresDrugEligEnrol/Downloads/FINALPDPEnrollmentandDisenrollmentGuidanceUpdateforCY2012-REV11.16.2011.pdf.
39. 5-Star plan ratings. National Medicare Training Program Centers for Medicare & Medicaid Services, US Dept of Health and Human Services, Accessed January 3, 2012. http://www.ncoa.org/assets/files/pdf/center-for-benefits/cms-overview-5-star-plan-ratings-nov-2011.pdf.
40. Executive update on medication quality measures in Medicare Part D star ratings Pharmacy Quality Alliance, Inc., Accessed January 3, 2012. http://www.pqaalliance.org/files/2012UpdateOnMedicarePartDStarRatings.pdf.
41. Contract year 2012 Medication Therapy Management Program (MTMP) Program submission Centers for Medicare & Medicaid Services, US Dept of Health and Human Services, Accessed January 3, 2012. https://www.cms.gov/PrescriptionDrugCovContra/Downloads/MemoMTMPSubmissionCY2012_03.03.11v1.pdf.
42. 2012 Medication Therapy Management program eligibility information available via the Medicare Plan Finder Centers for Medicare & Medicaid Services, US Dept of Health and Human Services, Accessed January 3, 2012. https://www.cms.gov/PrescriptionDrugCovContra/Downloads/MemoPartDMTMPCriteriaPosting_09.02.11.pdf.
43. Medicare Program; Changes to the Medicare Advantage and the Medicare prescription drug benefit programs for contract year 2013 and other proposed changes Centers for Medicare & Medicaid Services, US Dept of Health and Human Services, Accessed January 3, 2012. http://www.gpo.gov/fdsys/pkg/FR-2011-10-11/pdf/2011-25844.pdf.