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Prescription Drugs & Other Medical Products


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Geographic Variation in Prescription Drug Prices and Spending

This paper examines by state variation in drug prices and drug spending. Variation in prices are found to be minimal but variation in spending (and utilization) are more substantial. Further work will explore the underlying reasons for the spending variation and whether patterns persist when analyzed for areas other than states.

Developing A Risk Adjustment Methodology for Medicare Drug Plans

This paper describes the work NORC did to supplement the Federal Employee Health Benefits data (FEHBP) used to develop drug risk adjustment factors for over 65 individuals with a full drug supplement to Medicare. This data needed to be supplemented because the FEHBP data did not adequately represent, low-income, disabled, or non east Coast populations.

Issues in the Design and Implementation of Drug Formularies and Therapeutic Classes

As part of the Medicare Part D pharmacy benefit scheduled for implementation in 2006 by the Medicare Prescription Drug, Improvement, and Modernization Act (MMA), beneficiaries will have a choice of private plans administering the benefit.? Although plans are required to provide access to needed drugs, the law does not require plans to provide equal coverage for all drugs.?

Barriers to Implementing Technology in Residential Long-Term Care Settings

U.S. Department of Health and Human Services

Evaluation of Data Bases for Drug Risk Adjustment

This contract developed data bases to supplement the Federal Employees Health Benefits Data used to develop the drug risk adjustment system for Medicare part D drug plans for low-income and disabled populations; explored geographic variation by state in drug prices and drug utilization; and examined the joint effects on drug plan risk of the combination of drug risk-adjustment, risk-corridors a

Options for Defining Medicare Advantage Regions: An Assessment of Trade-offs

The Secretary of the Department of Health and Human Services (HHS) was charged with setting regional market areas for the implementation of the Medicare Prescription Drug, Improvement and Modernization Act of 2003 (MMA).

Health Care in Transition: Technology Assessment in the Private Sector

Health Care in Transition: Technology Assessment in the Private Sector Prepared by: Richard Rettig of the RAND Corporation Office of the Assistant Secretary of Planning and Evaluation Agency for Health Care Policy and Research. July, 1996.

Pharmaceutical Pricing Practices, Utilization and Costs - Meeting Summary

By Kerry Kemp,Health Systems Research, Inc.