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【6h】 Evaluating the success of Medicare Part D and its impact on Medicare beneficiaries.

机译评估Medicare D部分的成功及其对Medicare受益人的影响。

【摘要】Medicare Part D began providing prescription drug coverage to Medicare beneficiaries in 2006. It is essential to examine how the program impacts seniors' demand for prescription drugs, health outcomes and overall healthcare costs. This research paper analyzes how Part D affects beneficiaries' expenditures on prescription drugs and the number of prescriptions they use. Additionally, this paper explores whether Part D insurance and satisfaction with a healthcare provider influence the demand for prescriptions and the likelihood of being in the Part D coverage gap, or "doughnut hole". The analysis uses Medical Expenditure Panel Survey (MEPS) Full Year and Prescription Drug Files for 2004 through 2007. The results suggest that Part D and provider satisfaction impact beneficiaries demand for prescription drugs, but they do not significantly impact demand for drugs to treat a serious chronic illness like diabetes. For seniors without diabetes, but not those with diabetes, this study found that Part D coverage increases the likelihood of being in the coverage gap. The results also indicate that provider satisfaction increases the likelihood of being in the doughnut hole. Part D is a relatively new benefit, and the program appears to increase seniors demand for prescriptions. Hopefully, Part D will improve long-term health outcomes in addition to expanding access to prescription drugs.

【摘要机译】Medicare D部分于2006年开始为Medicare受益人提供处方药承保范围。至关重要的是,检查该计划如何影响老年人对处方药的需求,健康结果和整体医疗费用。本研究论文分析了D部分如何影响受益人在处方药上的支出以及他们使用的处方数量。此外,本文探讨了D部分的保险和对医疗保健提供者的满意度是否会影响对处方的需求以及是否存在D部分承保范围或“甜甜圈洞”的可能性。该分析使用了2004年至2007年的医疗支出专门小组调查(MEPS)全年和处方药档案。结果表明,D部分和提供者的满意度会影响受益人对处方药的需求,但不会显着影响对治疗严重疾病的药物的需求。像糖尿病这样的慢性疾病。对于没有糖尿病但没有糖尿病的老年人,这项研究发现D部分的承保范围增加了出现承保范围的可能性。结果还表明,提供者的满意度增加了进入甜甜圈洞的可能性。 D部分是一个相对较新的福利,该计划似乎增加了老年人对处方的需求。希望D部分除了扩大处方药的获取之外,还将改善长期健康状况。

【原文格式】PDF

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