Payment restrictions for prescription drugs under Medicaid. Effects on therapy, cost, and equity.
In an attempt to contain costs, 27 Medicaid programs have implemented patient-level
payment limits for medications, but the effects of these restrictions on quality of care, costs …
payment limits for medications, but the effects of these restrictions on quality of care, costs …
[PDF][PDF] Effect of prescription benefit changes on medical care utilization in a Medicare HMO population
FT Camacho, A Shrestha… - The American Journal of …, 2001 - academia.edu
Objective: To examine the impact of 2 cost-containment efforts in prescription benefits in
successive years that included changes in copayment and coverage levels, expanded …
successive years that included changes in copayment and coverage levels, expanded …
[HTML][HTML] Prescription drug payment policy: past, present, and future
K Gondek - Health care financing review, 1994 - ncbi.nlm.nih.gov
Prescription drug expenditures totaled more than $55 billion in 1990 and by the year 2000
are projected to rise above $125 billion (Burner, Waldo, and McKusick, 1992). They made …
are projected to rise above $125 billion (Burner, Waldo, and McKusick, 1992). They made …
Generic drug discount programs: are prescriptions being submitted for pharmacy benefit adjudication?
A Tungol, CI Starner, BW Gunderson… - Journal of Managed …, 2012 - jmcp.org
BACKGROUND: In 2006, pharmacies began offering select generic prescription drugs at
discount prices (eg, 4fora30-daysupply)throughnonmembershipandmembershippro….Aspartofthecontractinmembershipgenericdr …
discount prices (eg, 4fora30-daysupply)throughnonmembershipandmembershippro….Aspartofthecontractinmembershipgenericdr …
Copayment for pharmaceutical services in a Medicaid program.
AA Nelson Jr, MR Quick - Contemporary Pharmacy Practice, 1980 - europepmc.org
Copayment for prescription drugs in a Medicaid drug program is an increasingly popular
mechanism to finance dispensing fee increases. There is, however, reason to expect such a …
mechanism to finance dispensing fee increases. There is, however, reason to expect such a …
Specialty drug coupons lower out-of-pocket costs and may improve adherence at the risk of increasing premiums
CI Starner, GC Alexander, K Bowen, Y Qiu… - Health …, 2014 - healthaffairs.org
Expenditures for specialty drugs account for more than 25 percent of total US drug spending
and have been increasing at more than 13 percent annually. We examined insurers' role in …
and have been increasing at more than 13 percent annually. We examined insurers' role in …
[引用][C] Unintended consequences of drug formularies
SD Horn - American Journal of Health-System Pharmacy, 1996 - academic.oup.com
We Started the Managed Care Outcomes Project (MCOP) in order to examine the impact of
various cost-containment practices on pa tients' use of health care services in managed care …
various cost-containment practices on pa tients' use of health care services in managed care …
Economic impact of cost-containment strategies in third party programmes in the US: Part II
This is the second article in a 2-part series that examines the economic impact of several
different strategies used to control costs in third party programmes. This article investigates 5 …
different strategies used to control costs in third party programmes. This article investigates 5 …
Physicians' perceived knowledge of and responsibility for managing patients' out-of-pocket costs for prescription drugs
WH Shrank, SM Asch, GJ Joseph… - Annals of …, 2006 - journals.sagepub.com
Background: Most insurers in the US have implemented incentive-based formularies that
rely on out-of-pocket costs to influence prescription drug utilization. Medicare Part D plans …
rely on out-of-pocket costs to influence prescription drug utilization. Medicare Part D plans …
Multiple drug cost containment policies in Michigan's Medicaid program saved money overall, although some increased costs
J Kibicho, SD Pinkerton - Health Affairs, 2012 - healthaffairs.org
Michigan's Medicaid program implemented four cost containment policies—preferred drug
lists, joint and multistate purchasing arrangements, and maximum allowable cost—during …
lists, joint and multistate purchasing arrangements, and maximum allowable cost—during …