Posted on December 23, 2010 09:48
Categories: Medicare | Special Populations
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This study by Health Affairs examines insurers of low-income patients participating in Medicare Part D. It concludes that insurers are not sufficiently reimbursed for relatively high pharmacy costs, thus encouraging insurance plans to raise their rates above regional standards. Such raises often force low-income individuals to switch plans. The study suggests that improving risk and subsidy adjustments could better the situation.
Hsu, et. al. (2010). Fixing Flaws In Medicare Drug Coverage That Prompt Insurers To Avoid Low-Income Patients. Health Affairs. doi: 10.1377/hlthaff.2009.0323. http://content.healthaffairs.org/content/early/2010/10/28/hlthaff.2009.0323.abstract
Authors: John Hsu, Jie Huang, Mary Price, Richard Brand, Rita Hui, Bruce Fireman, William H. Dow, John Bertko, and Joseph Newhouse.
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