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Medicare Part D: successes and continuing challenges. Impact of Medicare Part D on Massachusetts health programs and beneficiaries.

Abstract

On January 1, 2006, the Centers for Medicare and Medicaid Services (CMS) implemented the Medicare Drug Benefit, or "Medicare Part D." The program offers prescription drug coverage for the one million Medicare beneficiaries in Massachusetts. Part D affects Massachusetts state health programs and beneficiaries in a number of ways. The program: (1) provides prescription drug insurance, including catastrophic coverage, through a choice of private prescription drug plans (PDPs) or integrated Medicare Advantage (MA-PD) health plans; (2) shifts prescription drug coverage for dual-eligible Medicare / Medicaid beneficiaries from Medicaid to Medicare Part D drug plans; (3) requires a maintenance-of-effort, or "clawback" payments from states to CMS designed to capture a portion of states' Medicaid savings to help finance the benefit; (4) offers additional help for premiums and cost sharing to low income beneficiaries through the Low Income Subsidy (LIS); and (5) provides a subsidy to employer groups that maintain their own prescription drug coverage for retired beneficiaries. This paper summarizes the activities involved in implementing Medicare Part D, the impact it has had on Massachusetts health programs, and the experiences of beneficiaries and others conducting outreach and enrollment. The data are drawn from interviews with officials and documents provided by state health programs, CMS and the Social Security Administration, and representatives of provider and advocacy groups involved in the enrollment and ongoing support of Medicare beneficiaries.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17546802

Citation

Thomas, Cindy Parks, et al. "Medicare Part D: Successes and Continuing Challenges. Impact of Medicare Part D On Massachusetts Health Programs and Beneficiaries." Issue Brief (Massachusetts Health Policy Forum), 2007, pp. 1-32.
Thomas CP, Sussman J, Massachusettes Health Policy Forum, et al. Medicare Part D: successes and continuing challenges. Impact of Medicare Part D on Massachusetts health programs and beneficiaries. Issue Brief (Mass Health Policy Forum). 2007.
Thomas, C. P., & Sussman, J. (2007). Medicare Part D: successes and continuing challenges. Impact of Medicare Part D on Massachusetts health programs and beneficiaries. Issue Brief (Massachusetts Health Policy Forum), (32), 1-32.
Thomas CP, et al. Medicare Part D: Successes and Continuing Challenges. Impact of Medicare Part D On Massachusetts Health Programs and Beneficiaries. Issue Brief (Mass Health Policy Forum). 2007 May 30;(32)1-32. PubMed PMID: 17546802.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Medicare Part D: successes and continuing challenges. Impact of Medicare Part D on Massachusetts health programs and beneficiaries. AU - Thomas,Cindy Parks, AU - Sussman,Jeffrey, AU - ,, AU - ,, PY - 2007/6/6/pubmed PY - 2007/6/19/medline PY - 2007/6/6/entrez SP - 1 EP - 32 JF - Issue brief (Massachusetts Health Policy Forum) JO - Issue Brief (Mass Health Policy Forum) IS - 32 N2 - On January 1, 2006, the Centers for Medicare and Medicaid Services (CMS) implemented the Medicare Drug Benefit, or "Medicare Part D." The program offers prescription drug coverage for the one million Medicare beneficiaries in Massachusetts. Part D affects Massachusetts state health programs and beneficiaries in a number of ways. The program: (1) provides prescription drug insurance, including catastrophic coverage, through a choice of private prescription drug plans (PDPs) or integrated Medicare Advantage (MA-PD) health plans; (2) shifts prescription drug coverage for dual-eligible Medicare / Medicaid beneficiaries from Medicaid to Medicare Part D drug plans; (3) requires a maintenance-of-effort, or "clawback" payments from states to CMS designed to capture a portion of states' Medicaid savings to help finance the benefit; (4) offers additional help for premiums and cost sharing to low income beneficiaries through the Low Income Subsidy (LIS); and (5) provides a subsidy to employer groups that maintain their own prescription drug coverage for retired beneficiaries. This paper summarizes the activities involved in implementing Medicare Part D, the impact it has had on Massachusetts health programs, and the experiences of beneficiaries and others conducting outreach and enrollment. The data are drawn from interviews with officials and documents provided by state health programs, CMS and the Social Security Administration, and representatives of provider and advocacy groups involved in the enrollment and ongoing support of Medicare beneficiaries. UR - https://www.unboundmedicine.com/medline/citation/17546802/Medicare_Part_D:_successes_and_continuing_challenges__Impact_of_Medicare_Part_D_on_Massachusetts_health_programs_and_beneficiaries_ L2 - https://medlineplus.gov/medicare.html DB - PRIME DP - Unbound Medicine ER -