Evaluation of Impacts of Medicare Modernization Act Changes on Dual Eligible Beneficiaries in Demonstration and Other Managed Care and Fee-For-Service Settings:Final rept

摘要

This study was conducted under a contract from the Centers for Medicare and Medicaid Services (CMS) that had two aims: (1) describe best practices from 11 demonstration health plans operating in three states and offering comprehensive mananaged care to dual-eligible beneficiaries (eligible for both Medicare and Medicaid), and (2) assess the impact of the Medicare Prescription Drug, Improvement and Modernization Act of 2003 (the MMA) on these plans and their members. A separate report dealt with the first aim (Bishop, Leutz et al. 2006), and this report addresses the second aim, with particular focus on MMA impacts in three areas: finances/bidding process, marketing, and prescription drugs.