Perverse incentives in the Medicare prescription drug benefit

D McAdams, M Schwarz - INQUIRY: The Journal of Health …, 2007 - journals.sagepub.com
This paper analyzes some of the perverse incentives that may arise under the current
Medicare prescription drug benefit design. In particular, risk adjustment for a standalone …

Consumers face higher costs as health plans seek to control drug spending.

GP Mays, RE Hurley, JM Grossman - Issue Brief (Center for …, 2001 - europepmc.org
Faced with relentless growth in pharmaceutical spending during the 1990s, health plans in
recent years have tried to rein in costs by negotiating lower drug prices, encouraging more …

Do interventions that address patient cost-sharing improve adherence to prescription drugs? A systematic review of recently published studies

A Sensharma, KR Yabroff - Expert Review of Pharmacoeconomics …, 2019 - Taylor & Francis
Introduction: Poor prescription drug adherence is common, jeopardizing the benefits of
treatment and increasing the costs of health care in the United States. A frequently reported …

Increasing time costs and copayments for prescription drugs: an analysis of policy changes in a complex environment

ME Domino, BC Martin, E Wiley‐Exley… - Health services …, 2011 - Wiley Online Library
Objective. To estimate the effect of two separate policy changes in the North Carolina
Medicaid program:(1) reduced prescription lengths from 100 to 34 days' supply, and (2) …

Unintended consequences of a Medicaid prescription copayment policy

DA Lieberman, JM Polinski, NK Choudhry, J Avorn… - Medical …, 2014 - journals.lww.com
Results: After policy# 1, target generic use increased by 0.93%(P< 0.001) with a subsequent
quarterly slope decrease of− 0.16%(P< 0.01); policy# 2 led to a slope increase of 0.20%(P< …

[图书][B] Models for Funding Prescription Drug Programs

GR Currie, NL Nielson - 1999 - researchgate.net
This report summarizes the literature on different financial mechanisms used to provide
patient access to prescription drugs. The report recaps government funding mechanisms for …

The effect of a closed formulary in the face of real-life enrollment and disenrollment patterns

BR Motheral, TA Delate, JW Shaw… - Journal of Managed Care …, 2000 - jmcp.org
OBJECTIVE: To evaluate the effect of a closed formulary on pharmaceutical utilization and
expenditures in a noncontinuously eligible population. DESIGN: A pretest-posttest design …

Pricing of multiple dosage prescription medications: an analysis of the Ontario drug benefit formulary

J Lexchin - Health policy, 2009 - Elsevier
OBJECTIVES: This paper investigates the pricing strategy (perfect flat pricing, perfect
monotonic pricing, intermediate) used for multiple dosage medications listed in the Ontario …

Financial Incentives And Drug Spending In Managed Care: Incentives for both physicians and patients can interact to help curb spending in this increasingly costly …

AL Hillman, MV Pauly, JJ Escarce, K Ripley… - Health …, 1999 - healthaffairs.org
This study estimates the impact of patient financial incentives on the use and cost of
prescription drugs in the context of differing physician payment mechanisms. A large data …

A copayment increase for prescription drugs: the long-term and short-term effects on use and expenditures

TB Gibson, CG McLaughlin… - INQUIRY: The Journal of …, 2005 - journals.sagepub.com
This study estimates the effects of an increase in an outpatient prescription drug copayment
using a natural experiment based upon a large firm that implemented such an increase. The …