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Drug rebates in Medicare Part D: Excess patient costs in the case of hepatitis C treatments
Research in Social and Administrative Pharmacy, 2020Medicare Part D was implemented as a prescription drug benefit in 2006. Since then, high-cost new therapies have emerged, resulting in large increases in prices for pharmaceutical products, share of government spending from pharmaceutical products, and patient out of pocket costs.The objectives of this study were to: 1) evaluate the role of pharmacy ...
Yorgos, Arambadjis +3 more
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Medicare Advantage? If You Say So. Fraud, Waste, And Abuse In Medicare Part C
The Journal of Healthcare Ethics & Administration, 2023Debates about health care often emphasize distributive justice. How should society allocate finite resources? Who will get access to them, who will not? Is the allocation fair? Who decides and by what standard? Answers to these questions rarely consider health care fraud, waste, and abuse. This is a material omission.
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Medicare Part C Means More Choices
Nursing Management (Springhouse), 1997The types of health plans that may contract with Medicare have been expanded significantly. Medicare beneficiaries will have to make a determined effort to decipher the assortment of choices they now face. Health plans are required to take prescribed steps to educate Medicare beneficiaries about their choices and must contribute to cost the federal ...
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Coverage for hepatitis C drugs in Medicare Part D.
The American journal of managed care, 2018The recent arrival of new hepatitis C virus (HCV) drugs has brought fiscal pressures onto Medicare Part D; spending on HCV drugs in Part D jumped from $283 million in 2013 to $4.5 billion in 2014. We examined the current benefit designs for HCV drugs in Part D plans and analyzed patients' financial burden for those drugs.A cross-sectional analysis of ...
Jeah Kyoungrae, Jung +4 more
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Alternatives to traditional Medicare: Medicare Part C poised to prosper.
Benefits quarterly, 2006Recent events indicate that Medicare Part C (Medicare Advantage) plans are poised to prosper. Yet many employers express hesitation to offer Medicare Advantage, formerly known as Medicare+Choice, plans to their retirees because they are concerned about the potential withdrawal of those plans if there is a reversal of federal funding rules. This article
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Incenting Medicare STARS Clinical Health Measures: Evaluation of Part C HEDIS Measures
2016Background: Medicare Advantage (MA) health Plans provide health insurance to a large portion of Medicare recipients. Since passage of the Affordable Care Act, MA Plans have received substantial bonus payments based on their STAR rating, a measure of the quality of health care delivered by the Plan.
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Medicare Part C: tossing another cost cap into the ring.
The Journal of American health policy, 1994Rejecting the Clinton Administration's call for mandatory health alliances, a key congressional panel recently passed a bill that expands the Medicare program to cover low-income and uninsured Americans. While some have criticized the bill's cost-containment provisions, the panel agreed that universal coverage cannot be achieved without a national ...
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