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Unintended consequences of caps on Medicare drug benefits

Article Abstract:

The effects of a US$1,000 cap on annual drug benefits in Medicare and Choice beneficiaries aged 65 years and over were investigated by comparing them with a concurrent control group whose benefits were unlimited due of employer supplements. Results indicated that limits on drug benefits had consistently negative consequences, with capped benefits being associated with lower drug consumption and unfavorable clinical outcomes.

Author: Brand, Richard, Newhouse, Joseph P., Fireman, Bruce, Selby, Joseph V., Hsu, John, Price, Mary, Jie Huang, Hui, Rita
Publisher: Massachusetts Medical Society
Publication Name: The New England Journal of Medicine
Subject: Health
ISSN: 0028-4793
Year: 2006
Accident & Health Insurance, Insurance Carriers, Direct Health and Medical Insurance Carriers, Hospital and medical service plans, Medical Care Insurance, Drugs Reimbursement Benefits, New England States, Health insurance, Prescription drug plans, New England

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Medicare and chronic conditions

Article Abstract:

The primary orientation of the Medicare program that became operational in 1966 is the treatment of acute, episodic illness. It is stated that Medicare is becoming a program for people with chronic conditions due to the recent legislation.

Author: Anderson, Gerard F.
Publisher: Massachusetts Medical Society
Publication Name: The New England Journal of Medicine
Subject: Health
ISSN: 0028-4793
Year: 2005
United Kingdom, Care and treatment, Chronic diseases

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Subjects list: Laws, regulations and rules, Government regulation, Medicare
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