全球智库信息集成服务系统(G2TT): How Do M+C Plans Manage Pharmacy Benefits? Implications for Medicare Reform

G2TT

来源类型	Publication
	How Do M+C Plans Manage Pharmacy Benefits? Implications for Medicare Reform
	Debra A. Draper; Anna E. Cook,; Marsha R. Gold
发表日期	2003-03-01
出版者	Henry J. Kaiser Family Foundation
出版年	2003
语种	英语
概述	Understanding how Medicare+Choice (M+C) plans manage their drug benefits may generate important lessons for Medicare. ",
摘要	Understanding how Medicare+Choice (M+C) plans manage their drug benefits may generate important lessons for Medicare. This report, based on interviews with both national and regional managed care firms, provides an in-depth look at how plans have managed their M+C outpatient pharmacy benefits in recent years. Findings show that plans rely on a number of cost management strategies to constrain the growth in drug spending including formularies, tiered-copayments, mail-order benefits, and fixed caps or dollar limits on drug benefits. When spending begins to spiral and Medicare capitation rates do not increase commensurately, plans may revert to more certain methods for controlling drug costs, like capping drug benefit levels, which helps limit their financial exposure but shifts risk onto beneficiaries.
URL	https://www.mathematica.org/our-publications-and-findings/publications/how-do-mc-plans-manage-pharmacy-benefits-implications-for-medicare-reform
来源智库	Mathematica Policy Research (United States)
资源类型	智库出版物
条目标识符	http://119.78.100.153/handle/2XGU8XDN/484995
推荐引用方式 GB/T 7714	Debra A. Draper,Anna E. Cook,,Marsha R. Gold. How Do M+C Plans Manage Pharmacy Benefits? Implications for Medicare Reform. 2003.