LTCPA Issue Papers
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Medicare Part D Plan Formularies Vary Greatly for Dually-Eligible Nursing Home Residents in 2008 |
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LTCPA has released a study comparing formulary coverage of a list of drugs commonly used by nursing home residents among Medicare Part D Prescription Drug Plans (PDPs) available for auto-assignment of dually-eligible beneficiaries in each Medicare PDP region. This review highlights the significant variability in access to specific drugs between these plans. In addition, the survey highlights the increased utilization management techniques implemented by the plans. |
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Read Report
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LTCPA Analysis: CMS Prohibition on Caregivers Assisting Nursing Home Residents With Medicare Part D Plan Selection Creating Serious Problems |
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The LTCPA has released a policy analysis of issues surrounding enrollment of long term term care residents in Medicare Part D. Based on its analysis, LTCPA recommends changing CMS rules to allow caregivers to assist nursing home residents in becoming enrolled in a plan that best matches their needs. |
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Read the LTCPA Policy Brief (DOC) |
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Study Warns Mentally Ill Nursing Home Residents Face Risks If They Don't Get Help Choosing The Right Part D Plan |
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A study warns mentally ill nursing home residents face health risks if they do no receive the most suitable medication. However, many are not able to choose a PDP that covers their drugs without some assistance. |
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Read Study
(PDF)
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Controlling Prescription Drug Spending: Cutting Pharmacy Reimbursement Is Not The Answer |
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Pharmacies do not control the prices set by drug manufacturers and wholesalers, nor do pharmacies have much control over the prescriptions written by physicians, so cutting reimbursement to pharmacies will have little impact on total prescription drug spending. It's akin to a physician treating a symptom without addressing the underlying condition. |
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Learn more |
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Seniors In Nursing Homes Need Access To A Specialized Medicare Drug Benefit |
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The average resident of a skilled nursing facility is more than 83 years old and needs from six to ten different drugs at any one time – and sometimes more. These residents are frail, unable to care for themselves and need specialized pharmacy services unavailable through the typical retail or mail-order drugstore. |
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Learn more |
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LTCPA Issue Paper Archives
