Examining the impact of Part D on nursing home residents.
Key findings. (1) Even though 81 percent of eligible nursing home residents enrolled in Part D within the first year, they demonstrated no evidence of expanded drug coverage. (2) Medicare Part D lowered the out-of-pocket drug costs of nursing home residents by less than the amount in the community setting. (3) Nursing home residents who did not enroll in Part D exhibited characteristics of vulnerability: oldest-old, highest disease burden, and no previous drug coverage. (4) Disruptions in prescription drug use occurred after implementation of Part D.
Changes in Health Care Financing & Organization, USA. nicole.hudson@academyhealth.org
Nicole
N
Hudson
D016527:Drug Costs / Q000331:legislation & jurisprudence; D004363:Drug Utilization / Q000191:economics* / Q000331:legislation & jurisprudence; D004608:Eligibility Determination / Q000191:economics / Q000331:legislation & jurisprudence; D006801:Humans; D007356:Insurance, Pharmaceutical Services / Q000191:economics* / Q000331:legislation & jurisprudence; D008484:Medicaid; D054524:Medicare Part D / Q000191:economics* / Q000331:legislation & jurisprudence; D009735:Nursing Homes / Q000191:economics / Q000331:legislation & jurisprudence; D055553:Prescription Drugs / Q000191:economics*; D014481:United States
D055553:Prescription Drugs