Health Affairs

Health Affairs, 27, no. 2 (2008): 560-567 doi: 10.1377/hlthaff.27.2.560 © 2008 by Project HOPE	New Online   Getting Health Reform Done   After the State of the Union   Incremental Reform   E-Health in Developing World   Most-Read Articles in 2009

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DataWatch

Rejections Of Drug Claims For Nursing Home Residents Under Medicare Part D

Haiden A. Huskamp, David G. Stevenson, Nancy L. Keating and Joseph P. Newhouse

Some nursing facility administrators and physicians have raised concerns about the increased administrative burden of working across multiple Part D prescription drug plans (PDPs), citing the possibility for adverse resident outcomes and financial burden on facilities when PDPs reject drug claims for residents. We examined data on claims in rejected status for one large long-term care pharmacy as of December 2006. There was considerable variation across PDPs in both rejection rates and reasons for rejection.

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				D. G. Stevenson, H. A. Huskamp, and J. P. Newhouse Medicare Part D and the Nursing Home Setting Gerontologist, August 1, 2008; 48(4): 432 - 441. [Abstract] [Full Text] [PDF]