Medicare prescription drug benefit progress report: Findings from a 2006 national survey of seniors

Medicare prescription drug benefit progress report: Findings from a 2006 national survey of seniors
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DOI:
10.1377/hlthaff.26.5.w630
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发表时间:
2007-09-01
期刊:
影响因子:
9.7
通讯作者:
Safran, Dana Gelb
Safran, Dana Gelb
中科院分区:
医学1区
文献类型:
--
作者:
Neuman, Patricia;Strollo, Michelle Kitchman;Safran, Dana Gelb

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2006年的一项全国调查发现,2005年,在医疗保险药品福利之前,D部分为大多数没有医疗保险的老年人提供了药品保险。2006年没有药物覆盖的老年人一般分为两类:健康状况相对较好和可能难以接触到的老年人。与雇主计划或退伍军人事务部覆盖的老年人相比,D部分的参保人有更高的自付支出和更多与费用相关的不遵守。低收入补贴提供了防止高额自付支出的保护;没有他们,三分之一的D部分参保人每月支付超过100美元的药费,他们的贫困程度在150%或以下。
A national survey in 2006 found that Part D secured drug coverage for most seniors who were without it in 2005, prior to the Medicare drug benefit. Seniors without drug coverage in 2006 generally fell into two groups: those in relatively good health and those potentially difficult to reach. Compared with seniors covered through employer plans or the Department of Veterans Affairs, Part D enrollees had higher out-of-pocket spending and greater cost-related nonadherence. Low-income subsidies offered protection against high out-of-pocket spending; without them, one-third of Part D enrollees at or below 150 percent of poverty paid more than $100 a month for their medications.