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Volumn 16, Issue 1, 2016, Pages

Medicaid prescription limits: policy trends and comparative impact on utilization

Author keywords

Health policy; Health services research; Medicaid; Pharmacoepimiology; Pharmacy benefits; Prescription drugs

Indexed keywords

GENERIC DRUG; PRESCRIPTION DRUG;

EID: 84954521243     PISSN: None     EISSN: 14726963     Source Type: Journal    
DOI: 10.1186/s12913-016-1258-0     Document Type: Article
Times cited : (21)

References (47)
  • 4
    • 0023187848 scopus 로고
    • Payment restrictions for prescription drugs under Medicaid. Effects on therapy, cost, and equity
    • 1:STN:280:DyaL2s3oslWgsQ%3D%3D 3302713
    • Soumerai SB, Avorn J, Ross-Degnan D, Gortmaker S. Payment restrictions for prescription drugs under Medicaid. Effects on therapy, cost, and equity. N Engl J Med. 1987;317(9):550-6.
    • (1987) N Engl J Med , vol.317 , Issue.9 , pp. 550-556
    • Soumerai, S.B.1    Avorn, J.2    Ross-Degnan, D.3    Gortmaker, S.4
  • 5
    • 0025933465 scopus 로고
    • Effects of Medicaid drug-payment limits on admission to hospitals and nursing homes
    • 1:STN:280:DyaK3MzmslaisQ%3D%3D 1891009
    • Soumerai SB, Ross-Degnan D, Avorn J, McLaughlin TJ, Choodnovskiy I. Effects of Medicaid drug-payment limits on admission to hospitals and nursing homes. N Engl J Med. 1991;325(15):1072-7.
    • (1991) N Engl J Med , vol.325 , Issue.15 , pp. 1072-1077
    • Soumerai, S.B.1    Ross-Degnan, D.2    Avorn, J.3    McLaughlin, T.J.4    Choodnovskiy, I.5
  • 6
    • 0028169466 scopus 로고
    • Effects of a limit on Medicaid drug-reimbursement benefits on the use of psychotropic agents and acute mental health services by patients with schizophrenia
    • 1:STN:280:DyaK2czivFWgtA%3D%3D 8052275
    • Soumerai SB, McLaughlin TJ, Ross-Degnan D, Casteris CS, Bollini P. Effects of a limit on Medicaid drug-reimbursement benefits on the use of psychotropic agents and acute mental health services by patients with schizophrenia. N Engl J Med. 1994;331(10):650-5.
    • (1994) N Engl J Med , vol.331 , Issue.10 , pp. 650-655
    • Soumerai, S.B.1    McLaughlin, T.J.2    Ross-Degnan, D.3    Casteris, C.S.4    Bollini, P.5
  • 7
    • 34347381507 scopus 로고    scopus 로고
    • Prescription drug cost sharing: associations with medication and medical utilization and spending and health
    • 1:CAS:528:DC%2BD2sXovF2rs78%3D 17609491
    • Goldman DP, Joyce GF, Zheng Y. Prescription drug cost sharing: associations with medication and medical utilization and spending and health. JAMA. 2007;298(1):61-9.
    • (2007) JAMA , vol.298 , Issue.1 , pp. 61-69
    • Goldman, D.P.1    Joyce, G.F.2    Zheng, Y.3
  • 11
    • 84954470086 scopus 로고    scopus 로고
    • Baltimore, MD: Center for Medicare and Medicaid Services
    • Medicaid Drug Rebate Program Data. Baltimore, MD: Center for Medicare and Medicaid Services; 2001-2009.
    • (2001) Medicaid Drug Rebate Program Data
  • 13
    • 0035941514 scopus 로고    scopus 로고
    • Adverse events associated with prescription drug cost-sharing among poor and elderly persons
    • 1:STN:280:DC%2BD3M7nvVKitA%3D%3D 11242426
    • Tamblyn R, Laprise R, Hanley JA, Abrahamowicz M, Scott S, Mayo N, et al. Adverse events associated with prescription drug cost-sharing among poor and elderly persons. JAMA. 2001;285(4):421-9.
    • (2001) JAMA , vol.285 , Issue.4 , pp. 421-429
    • Tamblyn, R.1    Laprise, R.2    Hanley, J.A.3    Abrahamowicz, M.4    Scott, S.5    Mayo, N.6
  • 14
    • 33749252978 scopus 로고    scopus 로고
    • 17 edition. Geneva, Switzerland: World Health Organization
    • WHO Model List of Essential Medicines. 17 edition. Geneva, Switzerland: World Health Organization; 2012.
    • (2012) WHO Model List of Essential Medicines
  • 15
    • 33745639694 scopus 로고    scopus 로고
    • Over and under-utilization of cyclooxygenase-2 selective inhibitors by primary care physicians and specialists: the tortoise and the hare revisited
    • 16808768 1924718
    • De Smet BD, Fendrick AM, Stevenson JG, Bernstein SJ. Over and under-utilization of cyclooxygenase-2 selective inhibitors by primary care physicians and specialists: the tortoise and the hare revisited. J Gen Intern Med. 2006;21(7):694-7.
    • (2006) J Gen Intern Med , vol.21 , Issue.7 , pp. 694-697
    • De Smet, B.D.1    Fendrick, A.M.2    Stevenson, J.G.3    Bernstein, S.J.4
  • 16
    • 79952115955 scopus 로고    scopus 로고
    • Magnitude and economic effect of overuse of antisecretory therapy in the ambulatory care setting
    • e228-234 21250399
    • Heidelbaugh JJ, Goldberg KL, Inadomi JM. Magnitude and economic effect of overuse of antisecretory therapy in the ambulatory care setting. Am J Manag Care. 2010;16(9):e228-234. e228-234.
    • (2010) Am J Manag Care , vol.16 , Issue.9 , pp. e228-e234
    • Heidelbaugh, J.J.1    Goldberg, K.L.2    Inadomi, J.M.3
  • 17
    • 77950903719 scopus 로고    scopus 로고
    • Anticonvulsant medications and the risk of suicide, attempted suicide, or violent death
    • 1:CAS:528:DC%2BC3cXksl2hsL8%3D 20388896
    • Patorno E, Bohn RL, Wahl PM, Avorn J, Patrick AR, Liu J, et al. Anticonvulsant medications and the risk of suicide, attempted suicide, or violent death. JAMA. 2010;303(14):1401-9.
    • (2010) JAMA , vol.303 , Issue.14 , pp. 1401-1409
    • Patorno, E.1    Bohn, R.L.2    Wahl, P.M.3    Avorn, J.4    Patrick, A.R.5    Liu, J.6
  • 20
    • 8644290981 scopus 로고    scopus 로고
    • Medicaid prior-authorization programs and the use of cyclooxygenase-2 inhibitors
    • 1:CAS:528:DC%2BD2cXhtVSqtLzL 15548779
    • Fischer MA, Schneeweiss S, Avorn J, Solomon DH. Medicaid prior-authorization programs and the use of cyclooxygenase-2 inhibitors. N Engl J Med. 2004;351(21):2187-94.
    • (2004) N Engl J Med , vol.351 , Issue.21 , pp. 2187-2194
    • Fischer, M.A.1    Schneeweiss, S.2    Avorn, J.3    Solomon, D.H.4
  • 21
    • 34248546143 scopus 로고    scopus 로고
    • Impact of Medicaid prior authorization on angiotensin-receptor blockers: can policy promote rational prescribing?
    • Fischer MA, Choudhry NK, Winkelmayer WC. Impact of Medicaid prior authorization on angiotensin-receptor blockers: can policy promote rational prescribing? Health Aff (Millwood). 2007;26(3):800-7.
    • (2007) Health Aff (Millwood) , vol.26 , Issue.3 , pp. 800-807
    • Fischer, M.A.1    Choudhry, N.K.2    Winkelmayer, W.C.3
  • 22
    • 0033059521 scopus 로고    scopus 로고
    • Studying seasonality by using sine and cosine functions in regression analysis
    • 1:STN:280:DyaK1MzisVyksA%3D%3D 10396550 1756865
    • Stolwijk AM, Straatman H, Zielhuis GA. Studying seasonality by using sine and cosine functions in regression analysis. J Epidemiol Community Health. 1999;53(4):235-8.
    • (1999) J Epidemiol Community Health , vol.53 , Issue.4 , pp. 235-238
    • Stolwijk, A.M.1    Straatman, H.2    Zielhuis, G.A.3
  • 23
    • 80052305537 scopus 로고    scopus 로고
    • Changes in drug utilization during a gap in insurance coverage: an examination of the medicare Part D coverage gap
    • 21857811 3156689
    • Polinski JM, Shrank WH, Huskamp HA, Glynn RJ, Liberman JN, Schneeweiss S. Changes in drug utilization during a gap in insurance coverage: an examination of the medicare Part D coverage gap. PLoS Med. 2011;8(8):e1001075-5.
    • (2011) PLoS Med , vol.8 , Issue.8 , pp. e1001075-e1001085
    • Polinski, J.M.1    Shrank, W.H.2    Huskamp, H.A.3    Glynn, R.J.4    Liberman, J.N.5    Schneeweiss, S.6
  • 25
    • 0033596281 scopus 로고    scopus 로고
    • Effect of statins on risk of coronary disease: a meta-analysis of randomized controlled trials
    • 1:CAS:528:DC%2BD3cXjsF2ntQ%3D%3D 10612322
    • LaRosa JC, He J, Vupputuri S. Effect of statins on risk of coronary disease: a meta-analysis of randomized controlled trials. JAMA. 1999;282(24):2340-6.
    • (1999) JAMA , vol.282 , Issue.24 , pp. 2340-2346
    • LaRosa, J.C.1    He, J.2    Vupputuri, S.3
  • 26
    • 0028955321 scopus 로고
    • Overview of randomized trials of angiotensin-converting enzyme inhibitors on mortality and morbidity in patients with heart failure. Collaborative Group on ACE Inhibitor Trials
    • 1:STN:280:DyaK2M3jvFyrtw%3D%3D 7654275
    • Garg R, Yusuf S. Overview of randomized trials of angiotensin-converting enzyme inhibitors on mortality and morbidity in patients with heart failure. Collaborative Group on ACE Inhibitor Trials. JAMA. 1995;273(18):1450-6.
    • (1995) JAMA , vol.273 , Issue.18 , pp. 1450-1456
    • Garg, R.1    Yusuf, S.2
  • 27
    • 33846123697 scopus 로고    scopus 로고
    • Relationship between adherence to evidence-based pharmacotherapy and long-term mortality after acute myocardial infarction
    • 1:CAS:528:DC%2BD2sXksVyisA%3D%3D 17213401
    • Rasmussen JN, Chong A, Alter DA. Relationship between adherence to evidence-based pharmacotherapy and long-term mortality after acute myocardial infarction. JAMA. 2007;297(2):177-86.
    • (2007) JAMA , vol.297 , Issue.2 , pp. 177-186
    • Rasmussen, J.N.1    Chong, A.2    Alter, D.A.3
  • 28
    • 33749006625 scopus 로고    scopus 로고
    • Effect of medication nonadherence on hospitalization and mortality among patients with diabetes mellitus
    • 17000939
    • Ho PM, Rumsfeld JS, Masoudi FA, McClure DL, Plomondon ME, Steiner JF, et al. Effect of medication nonadherence on hospitalization and mortality among patients with diabetes mellitus. Arch Intern Med. 2006;166(17):1836-41.
    • (2006) Arch Intern Med , vol.166 , Issue.17 , pp. 1836-1841
    • Ho, P.M.1    Rumsfeld, J.S.2    Masoudi, F.A.3    McClure, D.L.4    Plomondon, M.E.5    Steiner, J.F.6
  • 29
    • 84996477089 scopus 로고    scopus 로고
    • Summary health statistics for U.S. adults: National Health Interview Survey
    • Schiller JS, Lucas JW, Ward BW, Peregoy JA. Summary health statistics for U.S. adults: National Health Interview Survey. Vital Health Stat 10. 2010;2012(252):1-207.
    • (2010) Vital Health Stat 10 , vol.2012 , Issue.252 , pp. 1-207
    • Schiller, J.S.1    Lucas, J.W.2    Ward, B.W.3    Peregoy, J.A.4
  • 30
    • 33645013643 scopus 로고    scopus 로고
    • Long-term adherence to evidence-based secondary prevention therapies in coronary artery disease
    • 1:CAS:528:DC%2BD28Xis1Kjsg%3D%3D 16401776
    • Newby LK, LaPointe NMA, Chen AY, Kramer JM, Hammill BG, DeLong ER, et al. Long-term adherence to evidence-based secondary prevention therapies in coronary artery disease. Circulation. 2006;113(2):203-12.
    • (2006) Circulation , vol.113 , Issue.2 , pp. 203-212
    • Newby, L.K.1    LaPointe, N.M.A.2    Chen, A.Y.3    Kramer, J.M.4    Hammill, B.G.5    DeLong, E.R.6
  • 31
    • 77951689108 scopus 로고    scopus 로고
    • Problems of nonadherence in cardiology and proposals to improve outcomes
    • 20451702
    • Garner JB. Problems of nonadherence in cardiology and proposals to improve outcomes. Am J Cardiol. 2010;105(10):1495-501.
    • (2010) Am J Cardiol , vol.105 , Issue.10 , pp. 1495-1501
    • Garner, J.B.1
  • 32
    • 79960252970 scopus 로고    scopus 로고
    • The use of generic drugs in prevention of chronic disease is far more cost-effective than thought, and may save money
    • Shrank WH, Choudhry NK, Liberman JN, Brennan TA. The use of generic drugs in prevention of chronic disease is far more cost-effective than thought, and may save money. Health Aff (Millwood). 2011;30(7):1351-7.
    • (2011) Health Aff (Millwood) , vol.30 , Issue.7 , pp. 1351-1357
    • Shrank, W.H.1    Choudhry, N.K.2    Liberman, J.N.3    Brennan, T.A.4
  • 34
    • 33744472168 scopus 로고    scopus 로고
    • Unintended consequences of caps on Medicare drug benefits
    • 1:CAS:528:DC%2BD28XmtVyktL0%3D 16738271
    • Hsu J, Price M, Huang J, Brand R, Fung V, Hui R, et al. Unintended consequences of caps on Medicare drug benefits. N Engl J Med. 2006;354(22):2349-59.
    • (2006) N Engl J Med , vol.354 , Issue.22 , pp. 2349-2359
    • Hsu, J.1    Price, M.2    Huang, J.3    Brand, R.4    Fung, V.5    Hui, R.6
  • 35
    • 1942510672 scopus 로고    scopus 로고
    • Economic implications of evidence-based prescribing for hypertension: can better care cost less?
    • 1:CAS:528:DC%2BD2cXjsVSluro%3D 15100203
    • Fischer MA, Avorn J. Economic implications of evidence-based prescribing for hypertension: can better care cost less? JAMA. 2004;291(15):1850-6.
    • (2004) JAMA , vol.291 , Issue.15 , pp. 1850-1856
    • Fischer, M.A.1    Avorn, J.2
  • 36
    • 42649087091 scopus 로고    scopus 로고
    • The economic consequences of non-evidence-based clopidogrel use
    • 18440340
    • Choudhry NK, Levin R, Avorn J. The economic consequences of non-evidence-based clopidogrel use. American Heart Journal. 2008;155(5):904-9.
    • (2008) American Heart Journal , vol.155 , Issue.5 , pp. 904-909
    • Choudhry, N.K.1    Levin, R.2    Avorn, J.3
  • 37
    • 84857217585 scopus 로고    scopus 로고
    • Patterns of medication initiation in newly diagnosed diabetes mellitus: quality and cost implications
    • e301-307-302.e301-307 22340932 4347833
    • Desai NR, Shrank WH, Fischer MA, Avorn J, Liberman JN, Schneeweiss S, et al. Patterns of medication initiation in newly diagnosed diabetes mellitus: quality and cost implications. Am J Med. 2012;125(3):302. e301-307-302.e301-307.
    • (2012) Am J Med , vol.125 , Issue.3 , pp. 302
    • Desai, N.R.1    Shrank, W.H.2    Fischer, M.A.3    Avorn, J.4    Liberman, J.N.5    Schneeweiss, S.6
  • 38
    • 0030191515 scopus 로고    scopus 로고
    • The impact of implementing a more restrictive prescription limit on Medicaid recipients. Effects on cost, therapy, and out-of-pocket expenditures
    • 1:STN:280:DyaK28zhsFClsQ%3D%3D 8676607
    • Martin BC, McMillan JA. The impact of implementing a more restrictive prescription limit on Medicaid recipients. Effects on cost, therapy, and out-of-pocket expenditures. Med Care. 1996;34(7):686-701.
    • (1996) Med Care , vol.34 , Issue.7 , pp. 686-701
    • Martin, B.C.1    McMillan, J.A.2
  • 39
    • 0024603207 scopus 로고
    • Ecological bias, confounding, and effect modification
    • 1:STN:280:DyaL1M3lsVansA%3D%3D 2656561
    • Greenland S, Morgenstern H. Ecological bias, confounding, and effect modification. Int J Epidemiol. 1989;18(1):269-74.
    • (1989) Int J Epidemiol , vol.18 , Issue.1 , pp. 269-274
    • Greenland, S.1    Morgenstern, H.2
  • 40
    • 78149487472 scopus 로고    scopus 로고
    • Four-dollar generics - Increased accessibility, impaired quality assurance
    • 1:CAS:528:DC%2BC3cXhsVChsbrJ 21067379
    • Choudhry NK, Shrank WH. Four-dollar generics - increased accessibility, impaired quality assurance. N Engl J Med. 2010;363(20):1885-7.
    • (2010) N Engl J Med , vol.363 , Issue.20 , pp. 1885-1887
    • Choudhry, N.K.1    Shrank, W.H.2
  • 41
    • 0031747145 scopus 로고    scopus 로고
    • Influence of payor on use of invasive cardiac procedures and patient outcome after myocardial infarction in the United States. Participants in the National Registry of Myocardial Infarction
    • 1:STN:280:DyaK1c3ovVGisw%3D%3D 9626822
    • Sada MJ, French WJ, Carlisle DM, Chandra NC, Gore JM, Rogers WJ. Influence of payor on use of invasive cardiac procedures and patient outcome after myocardial infarction in the United States. Participants in the National Registry of Myocardial Infarction. J Am Coll Cardiol. 1998;31(7):1474-80.
    • (1998) J Am Coll Cardiol , vol.31 , Issue.7 , pp. 1474-1480
    • Sada, M.J.1    French, W.J.2    Carlisle, D.M.3    Chandra, N.C.4    Gore, J.M.5    Rogers, W.J.6
  • 42
    • 0028348493 scopus 로고
    • Access of Medicaid recipients to outpatient care
    • The Medicaid Access Study Group. Access of Medicaid recipients to outpatient care. N Engl J Med. 1994;330(20):1426-30.
    • (1994) N Engl J Med , vol.330 , Issue.20 , pp. 1426-1430
  • 43
    • 24644495670 scopus 로고    scopus 로고
    • Insurance status and access to urgent ambulatory care follow-up appointments
    • 1:CAS:528:DC%2BD2MXpvFKhu70%3D 16160133
    • Asplin BR, Rhodes KV, Levy H, Lurie N, Crain AL, Carlin BP, et al. Insurance status and access to urgent ambulatory care follow-up appointments. JAMA. 2005;294(10):1248-54.
    • (2005) JAMA , vol.294 , Issue.10 , pp. 1248-1254
    • Asplin, B.R.1    Rhodes, K.V.2    Levy, H.3    Lurie, N.4    Crain, A.L.5    Carlin, B.P.6


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