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Diagnosis-based risk adjustment for medicare prescription drug plan payments.

Robst J, Levy JM, Ingber MJ - Health Care Financ Rev (2007)

Bottom Line: The 2003 Medicare Prescription Drug, Improvement, and Modernization Act (MMA) created Medicare Part D, a voluntary prescription drug benefit program.The benefit is a government subsidized prescription drug benefit within Medicare.This article focuses on the development of the prescription drug risk-adjustment model used to adjust payments to reflect the health status of plan enrollees.

View Article: PubMed Central - PubMed

Affiliation: University of South Florida, USA.

ABSTRACT
The 2003 Medicare Prescription Drug, Improvement, and Modernization Act (MMA) created Medicare Part D, a voluntary prescription drug benefit program. The benefit is a government subsidized prescription drug benefit within Medicare. This article focuses on the development of the prescription drug risk-adjustment model used to adjust payments to reflect the health status of plan enrollees.

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Medicare Standard Drug Benefit: 2006
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Related In: Results  -  Collection


getmorefigures.php?uid=PMC4195001&req=5

f1-hcfr-28-4-015: Medicare Standard Drug Benefit: 2006

Mentions: The basic Medicare prescription drug benefit structure partially covers the expenses of the majority of plan enrollees and has a catastrophic benefit for very high users. A Part D enrollee pays a premium, which was expected to be approximately $35 1 a month. Enrollment is on a voluntary basis. There is a premium increase for those who enroll after their initial opportunity, as there is in Medicare Part B. The structure of the standard benefit for 2006 is shown in Figure 1.


Diagnosis-based risk adjustment for medicare prescription drug plan payments.

Robst J, Levy JM, Ingber MJ - Health Care Financ Rev (2007)

Medicare Standard Drug Benefit: 2006
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4195001&req=5

f1-hcfr-28-4-015: Medicare Standard Drug Benefit: 2006
Mentions: The basic Medicare prescription drug benefit structure partially covers the expenses of the majority of plan enrollees and has a catastrophic benefit for very high users. A Part D enrollee pays a premium, which was expected to be approximately $35 1 a month. Enrollment is on a voluntary basis. There is a premium increase for those who enroll after their initial opportunity, as there is in Medicare Part B. The structure of the standard benefit for 2006 is shown in Figure 1.

Bottom Line: The 2003 Medicare Prescription Drug, Improvement, and Modernization Act (MMA) created Medicare Part D, a voluntary prescription drug benefit program.The benefit is a government subsidized prescription drug benefit within Medicare.This article focuses on the development of the prescription drug risk-adjustment model used to adjust payments to reflect the health status of plan enrollees.

View Article: PubMed Central - PubMed

Affiliation: University of South Florida, USA.

ABSTRACT
The 2003 Medicare Prescription Drug, Improvement, and Modernization Act (MMA) created Medicare Part D, a voluntary prescription drug benefit program. The benefit is a government subsidized prescription drug benefit within Medicare. This article focuses on the development of the prescription drug risk-adjustment model used to adjust payments to reflect the health status of plan enrollees.

Show MeSH