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Managed Care
December 2002
Drug-discount program's effectiveness hindered by lack of use California offers a prescription drug discount program that allows Medicare beneficiaries to get discounts just by showing their Medicare cards to pharmacists. Unfortunately, a majority of those eligible -- both those with and without drug coverage -- have never heard of the program. mark for My Articles similar articles
Managed Care
February 2005
Medicare's Drug Coverage Seeks To Strike Compromise Health plan officials are still trying to determine just how the final rules for the new Medicare prescription drug benefit will affect them, because it appears that government officials tried their best to address the competing concerns of all players. mark for My Articles similar articles
Managed Care
October 2002
Though M+C Erosion Slows, Reimbursement Still an Issue The exodus of health plans from Medicare+Choice will moderate somewhat next year, offering hope that the struggling system can make a comeback. mark for My Articles similar articles
Managed Care
July 2000
Michael Levin-Epstein
Congress Asked To Take Action As HMOs Flee Managed Medicare Thanks mainly to the increasing cost of providing a prescription drug benefit, HMOs are exiting Medicare+Choice, the system that was supposed to manage the health of the nation's senior citizens, in droves. Only an act of Congress can save Medicare+Choice, but is seems doubtful that will happen. mark for My Articles similar articles
Managed Care
December 2002
M+C meltdown hinders access to medications The fact that health plans are abandoning Medicare+Choice at a slower rate than in previous years doesn't mask the fact that the exodus of plans only exacerbates the problem of lack of pharmaceutical coverage for the elderly. mark for My Articles similar articles
Managed Care
April 2005
Medicare Modernization Act to Increase Public Sector Spending Nearly 50 Percent While the burden on the public sector to supply health care benefits to Medicare and Medicaid enrollees will increase, on the private side, a reevaluation of current forms of health insurance coverage may take place as growth in premiums continues to outpace growth in compensation. mark for My Articles similar articles
Managed Care
May 2000
Prescription Drug Benefit Gaining In Election Year Considered a dead issue just weeks ago, a prescription drug benefit in Medicare is suddenly thought to be the health care issue with the best chance for passage this year.... mark for My Articles similar articles
Managed Care
March 2007
Use of Generics On the Rise Recent data indicate that generic medication accounts for nearly 60% of the drugs dispensed to people in Medicare Prescription Drug Plans and Medicare Advantage plans. mark for My Articles similar articles
Knowledge@Wharton Prescription Drug Coverage for Seniors Faces Uncertain Future The discussion about adding a prescription drug benefit to Medicare will be put on hold... mark for My Articles similar articles
Managed Care
March 2002
Michael Levin-Epstein
Illinois's Medicare Drug Program Called 1st Stab at National Reform The Illinois demonstration program gives the state permission to use federal and state Medicaid dollars to provide prescription drug coverage for 365,000 low-income, elderly Medicare beneficiaries... mark for My Articles similar articles
Managed Care
February 2006
For Drugs, the VA Pays Far Less Than Medicare A recent survey indicates that prices for the top 20 drugs used by Medicare enrollees are much higher than prices negotiated by the Department of Veterans Affairs. mark for My Articles similar articles
Managed Care
March 2002
M+C Enrollees Bound to Their Choice Until June A lock-in mechanism for Medicare+Choice that kicked in Jan. 1 narrows the period during which enrollees can switch from health plan to health plan... mark for My Articles similar articles
Managed Care
August 2001
Prescription Plan For Medicare Faces Lawsuit President Bush's plan to give prescription discounts to Medicare beneficiaries has created quite a storm... mark for My Articles similar articles
Managed Care
September 2004
Bush Officials Seek Bounce From Medicare Reform Law Unfortunately for Bush, a recent survey says that most Medicare recipients who plan to let this issue influence their vote plan to cast those votes for Sen. John Kerry. mark for My Articles similar articles
Managed Care
July 2002
Survey: Health System Changes Should Not Be Made Too Quickly A sweeping change to the American health care industry, such as a wholesale move to a system based on defined contribution, is not favored by most people, according to a national survey that seems to reflect a conservative mood regarding medical coverage and prescription drug benefits. mark for My Articles similar articles
Managed Care
October 2000
Quick Fix May Be in Store for M+C, But Meaningful Change Likely To Wait Whatever diversion prescription drug proposals have provided, Medicare+Choice is back on Congress's radar screen. While sentiment is again running strong among legislators to address the wounded program, Congress is now racing a clock ticking ever closer to the elections... mark for My Articles similar articles
Managed Care
July 2005
Seeing is believing? Medicare reform seems to be taking root. mark for My Articles similar articles
Managed Care
April 2002
Frank Diamond
Medicare+Choice: Uncertain Future for Unstable Program While policy makers haggle over President Bush's budget request for the system, an ominous question looms: Can money solve all the problems? mark for My Articles similar articles
Managed Care
November 2001
Medicare+Choice Problems Chasing Away 58 Health Plans Medicare+Choice, the program that was supposed to ease the elderly into managed care, is itself suffering from the uneasiness of HMOs dissatisfied with payment rates... mark for My Articles similar articles
The Motley Fool
January 22, 2007
Michael P. Cecil
Will Medicare Negotiate With Drug Companies? One of the bedrock principles of our economic system is that those buying more of a product receive a discount. Wouldn't empowering Medicare to save taxpayers' money be widely embraced as a great idea? But how would pharma investors see it? mark for My Articles similar articles
Managed Care
December 2004
Number of Prescriptions Grows Faster Than Population With the rising costs of prescriptions and other issues relating to implementation of the new Medicare drug benefit, it is no wonder that policymakers are considering new approaches to addressing drug costs. mark for My Articles similar articles
Managed Care
January 2008
Copayment Rates Outpace Inflation Workers are definitely paying more for health benefits today than they were in 2000, especially for prescription drug copayments. mark for My Articles similar articles
Managed Care
May 2002
Drug Companies Unveil Their Plan For Discount Card In the absence of any congressional action on a pharmacy benefit in Medicare, seven pharmaceutical companies have teamed up to offer a drug discount card that many call a vital first step in shoring up Medicare coverage mark for My Articles similar articles
Managed Care
February 2007
Managed Care Outlook Coverage for children leads policy debate. mark for My Articles similar articles
Managed Care
March 2008
PDP Drug Restrictions Block Comparison Shopping A review of 169 commonly used drugs covered by Medicare Prescription Drug Plans (PDPs) reveals that only 4 of the 10 largest plans by enrollment have all of those 169 drugs on formulary. mark for My Articles similar articles
Managed Care
May 2007
Frank Diamond
Medicare Advantage Hits Jackpot with Private Fee-for-Service Plans The secret to the success of Medicare private fee-for-service plans is as old as gold. Will beneficiary satisfaction force Congress to keep the faucet turned on? mark for My Articles similar articles
Managed Care
March 2006
Financial Picture Looking Better For Part D News about financing the massive Medicare Part D program is good these days - or at least better. mark for My Articles similar articles
The Motley Fool
December 6, 2004
Brian Gorman
Pill-Popping Nation Americans are using more prescription drugs. Unfortunately for big pharma investors, pharmaceutical companies' benefits from these trends are tempered by other factors. mark for My Articles similar articles
Managed Care
December 2003
John A. Marcille
Will a Gift From Congress Rebuild Public Confidence? Medicare reform is another way of digging out from under the PR muck. Make it work, make it better than it was before and even the industry's harshest critics will have to admit that managed care does good while it does well. Failure is not an option. mark for My Articles similar articles
Registered Rep.
November 1, 2005
Lynn O'Shaughnessy
Medicare Drug Benefit 101 If financial advisers can understand the basics of the new Medicare drug benefit plan, they can provide a great service to their clients -- perhaps even save them money in premiums. Here's where to start. mark for My Articles similar articles
Managed Care
July 2006
Public Payers Foot Greater Pharmacy Costs Through 2005, private health insurance had covered most of the cost of prescription drugs. That picture is changing as public payments, mostly under Part D, are projected to exceed private health insurance and out-of-pocket payments. mark for My Articles similar articles
Managed Care
July 2002
Memo Clarifies CMS Guidelines on Injectables Injectable drugs should be covered by Medicare if beneficiaries administer them less than 50 percent of the time, according to a clarification on this issue by the Centers for Medicare and Medicaid services that's set to take effect Aug. 1. mark for My Articles similar articles
Salon.com
September 8, 2000
Alan Berlow
Prescription politics What's the difference between the Bush and Gore health plans? mark for My Articles similar articles
InternetNews
October 13, 2004
Roy Mark
Report: The Internet and Drugs Don't Mix It seems an increasing number of Americans are researching drugs online, but safety fears chill buying. mark for My Articles similar articles
Registered Rep.
October 13, 2011
Mark Miller
Determining Your Elderly Clients' Best-Fit in Medicare Plans You may be able to help senior clients save thousands of dollars in out-of-pocket health care costs by encouraging them to comparison shop for Medicare prescription drug and managed care options during the program's annual fall enrollment season. mark for My Articles similar articles
Managed Care
May 2001
Michael Levin-Epstein
Prescription Drug Talk Cooled Off Faster Than a Texas Thunderstorm Medicare reform -- and especially prescription drug benefits within Medicare -- no longer appears to be the burning issue it once was on Capitol Hill. The culprits: priorities and money... mark for My Articles similar articles
Managed Care
May 2006
Headlines On Deadline . . . Health plans appear to be having some trouble fulfilling a federal mandate that 80 percent of questions from Medicare beneficiaries about pharmacy coverage be answered within 30 seconds. mark for My Articles similar articles
Managed Care
February 2004
John A. Marcille
The Administration Delivers A Major Gift to Managed Care Which brings me to the announcement that Medicare payments to health plans participating in what was called Medicare+Choice but is now known as MedicareAdvantage will increase by a record 10.6 percent. mark for My Articles similar articles
Managed Care
March 2004
More Retirees Face Life Without Health Benefits Employer-sponsored health benefits for retirees could go the way of house calls and dial phones thanks to increasing health care costs. A study says that 10 percent of 408 companies with 1,000 employees or more plan to drop coverage for future retirees. mark for My Articles similar articles
Managed Care
May 2005
Implementing Medicare Part D Could Get Ugly This expert who hopes to help everybody adjust, nevertheless expects big headaches come Jan. 1, 2006. However, e-prescribing could make the drug plan work. mark for My Articles similar articles
Managed Care
April 2002
How Much Of a Discount Do Cards Offer? Pharmaceutical and chain drug store industry insiders say that the Bush administration's push to provide prescription drugs to the low-income elderly lacks important ingredients: details and money... mark for My Articles similar articles
Managed Care
June 2005
Martin Sipkoff
MMA Formulary Design Requires Health Plans To Control Costs Despite a mandate to adopt utilization management programs and make patients share costs, health plans are still lining up to participate in Medicare Part D. mark for My Articles similar articles
Managed Care
February 2007
Medicare Part D Cost Increase Estimate Lowered Net Medicare Part D costs for fiscal year 2008 are estimated to be 30 percent less than projected when the benefit was created back in 2003. mark for My Articles similar articles
Managed Care
March 2001
Bush: Medicare Drug Benefit Tied To Overall Reform Working quickly, President Bush has drafted the first half of his prescription drug plan for Medicare and sent it to Congress... mark for My Articles similar articles
Managed Care
November 2007
Patient Advocates Want Part D Changes A Medicare-administered drug benefit would be more affordable and comprehensive than the current private insurance-run drug benefit, say patient advocate groups. mark for My Articles similar articles
Managed Care
April 2005
Frank Diamond
Starting Medicare Advantage Plan Brings Special Set of Problems The feds will help you launch a health plan for the elderly, but just what does it take to get something like this operating in so short a time? mark for My Articles similar articles
The Motley Fool
August 18, 2006
Dan Caplinger
The Medicare Drug Dilemma: Part 1 Seniors have a great benefit available to them, but it's tough sorting through it all. We're here to help. mark for My Articles similar articles
Managed Care
January 2007
Seventy-Five Percent of Cancer Drugs Covered Under Medicare Part D Seventy-five percent of cancer drugs are covered by Medicare Part D plans, with regional Medicare Advantage prescription drug plans covering 85 percent. mark for My Articles similar articles
Managed Care
August 2002
24 States Hope Pharmacy Plus Helps Medicaid Twenty-four states may gamble that providing a prescription drug program to low-income elderly who do not qualify for Medicaid could save them money in the long run. mark for My Articles similar articles
Managed Care
November 2005
Martin Sipkoff
Confusion Rules the Day As Medicare Part D Begins With a dizzying array of coverage possibilities, there is a strong possibility that some people who would benefit will fail to enroll in any plan. mark for My Articles similar articles