Posts Tagged ‘Medicare Part D’

Medicare Part D Reduces Nursing Home, Hospital Admissions

A new study demonstrates that the Medicare Part D Prescription Drug Plan reduces hospital and nursing home admissions, resulting in an approximate healthcare savings of $12 billion. Study authors examined non-drug costs before the Part D program was introduced in 2006 to current non-drug spending in order to estimate savings. Medicare Part D reduces nursing home admissions

Medicare Part D helps seniors live longer, healthier lives by providing more affordable access to preventative medications, such as cholesterol and diabetes drugs. Before Part D made its debut in 2006, many seniors would skip doses or opt not to get their prescriptions filled at all–simply because they couldn’t afford the costs.

That said, Medicare Part D has been a point of debate since its inception. The biggest problem is known as the “donut-hole,” a coverage gap that requires seniors hitting a certain threshold to pay 100% of prescription drug costs out-of-pocket until they reach the next threshold level. Numerous alternatives have been presented and even implemented in an attempt to reduce or avoid the donut hole, but with the country’s current financial and political woes, it’s hard to say what changes we’ll see to Part D in the next few years.

For now, the benefit is clear: Providing seniors with the means to obtain affordable preventative medications avoids admissions to nursing homes and hospitals, which are more costly services to the Medicare program. The study appears in the Journal of the American Medical Association, and according to MainStreet.com, it’s a direct retort at critics who say the Medicare Part D program is too costly for the U.S. Detractors say that because Medicare Part D led to an increased use of prescription medications, it ended up costing the government more money.

Right now, it appears that Medicare Part D isn’t on the chopping block in the budget debate. But as talks continue, only August 2nd will bring answers to those wanting to know if their Medicare benefits will remain intact.

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Medicare Part D Changes Will Simplify Plan Selection

Next year, more than three million seniors will have to switch Medicare Part D plans, thanks to new Medicare efforts that aim to make the selection process easier. Not to worry — those seniors won’t lose their coverage, and the decision-making process should be easier thanks to Medicare’s scaling efforts and offering of more focused choices by eliminating duplicate coverage, according to the Assisted Living Federation of America (ALFA). Medicare Part D

Along with the changes, of course, comes an increase in premiums, but it’s a modest increase — just three percent, or about $1, making the total monthly premium about $30 for 2011. However, Don Berwick, Medicare administrator, says in an AP interview that seniors will also benefit from better coverage, because the new health care law will begin to close the doughnut hole gap seniors currently experience in coverage.

Seniors who enter the doughnut hole gap will receive a 50% discount on brand name drugs and a 7% discount on generics, which will gradually increase until the doughnut hole disappears in the year 2020.

The number of seniors who will need to switch plans next year is just a fraction of the 27 million total beneficiaries currently enrolled in a Medicare Part D prescription drug plan. Seniors who will need to select a new plan should be advised that the $30 monthly premium is an estimate, and that actual premiums can vary widely. Seniors should use the Medicare Plan Finder to research available plans in their areas and select the best plan for their needs based on coverage and cost.

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Increased Drug Utilization After Medicare Part D

New research suggests that Medicare Part D drug coverage has resulted in increased usage of antibiotics, according to an August 10, 2010 article on Health.com. Implementation of the Medicare Part D prescription drug plan led to increased access for many seniors who previously had no drug coverage at all, and reduced out-of-pocket spending by 13 to 23 percent. Prescription Drugs

Yuting Zhang and colleagues were interested in learning whether Medicare Part D led to increased utilization of antibiotics. In a study published in the August 9/23 issue of the Archives of Internal Medicine, researchers compared antibiotic usage for more than 35,000 seniors before and after Medicare Part D was introduced. Not surprisingly, the greatest increase in antibiotic usage was among seniors who had no coverage at all prior to Medicare Part D, and those who previously had limited coverage also showed significant increases in the use of antibiotics.

Antibiotics are used to treat infections that can be life-threatening for ailing seniors with compromised immune systems, such as pneumonia. Use of antibiotics to treat pneumonia tripled among seniors who previously had no drug coverage.

This research is promising, because it indicates that seniors are more likely to receive treatment for potentially life-threatening infections, which can increase survival rates and improve longevity.

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