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Health Tracking

FROM THE FIELD

State Pharmaceutical Assistance Programs For Older And Disabled Americans

Prescription drug costs are a major burden for certain elderly and disabled Medicare beneficiaries. Traditional Medicare does not cover outpatient prescription drugs. Twenty-seven percent of Medicare beneficiaries had no outpatient drug coverage throughout 1998, and this group filled on average 16.7 prescriptions that year, compared with 24.4 by those having coverage.¹ Persons without coverage spent an average of $546 out of pocket for their drugs, compared with $325 for persons with coverage. Younger disabled beneficiaries without coverage used sixteen prescriptions in 1998, compared with thirty-three for those with coverage. Moreover, the price and use of drugs have increased rapidly in . . . [Full Text of this Article]

Research methods.Program design issues.

Eligibility Standards

 

Program Benefits

 
Limits on drugs covered.Cost-sharing mechanisms.Targeting according to income.Stakeholders’ assessments.

Outreach To Potential Enrollees

 

Enrollment Processes

 

Funding And Limiting Program Expenditures

 
Funding sources.Program spending.Spending controls.

Quality Assurance And Fraud Prevention

 

Lessons From The States

 
Income testing.Coverage of younger disabled.Outreach.Adequate coverage, cost containment.Utilization review.

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				J. M Wiener and J. Tilly Population ageing in the United States of America: implications for public programmes Int. J. Epidemiol., August 1, 2002; 31(4): 776 - 781. [Full Text] [PDF]