Managed Care - September 2008 - (Page 47) THE FORMULARY FILES ‘Doughnut hole’ leaves 3.4M without coverage Approximately 3.4 million Medicare beneficiaries enrolled in Part D reached the gap in their prescription coverage (called the doughnut hole), and some stopped taking their medications as a result. A study from the Kaiser Family Foundation finds that 26 percent of Part D enrollees in 2007 reached the coverage gap. Beneficiaries taking drugs for chronic conditions had a substantially higher risk of a gap in coverage. For example, 64 percent of enrollees taking medications for Alzheimer’s disease reached the coverage gap and 8 percent stopped taking their medications once they reached the limit. Of enrollees using multiple drugs, on average 20 percent who reached the gap either stopped taking a medication in that drug class, reduced their medication use (e.g., skipped doses), or switched to a different drug in that class when they reached the gap. Stopped taking medication Reduced medication use Switched medications Antidepressants 15% 1% 6% After reaching the coverage gap, percentage who … Average of eight classes 15% 1% 5% Proton pump inhibitors 20% 0% 6% Oral antidiabetics 10% 5% 8% Osteoporosis treatments ACE inhibitors 16% 0% 4% 18% 1% 3% Statins 13% 0% 5% Angiotensin receptor blockers 14% 0% 3% Alzheimer’s disease treatments 2% 4% 8% Note: Enrollees may use drugs in more than one of the eight drug categories Source: Georgetown University/National Opinion Research Center/Kaiser Family Foundation analysis SEPTEMBER 2008 / MANAGED CARE 47
Table of Contents Feed for the Digital Edition of Managed Care - September 2008 Managed Care - September 2008 Editor’s Memo Contents Legislation & Regulation News and Commentary Medication Management Compensation Monitor Archimedes Lends Hippocrates a Hand Some Other Predictive Modeling Programs Messing With Medicare Advantage The Trouble With MAC MedPAC’s Suggestions Sound Familiar The Leader in Patient Satisfaction Formulary Files Plan Watch Tomorrow’s Medicine Ad Index Outlook Managed Care - September 2008 Managed Care - September 2008 - Managed Care - September 2008 (Page Cover1) Managed Care - September 2008 - Managed Care - September 2008 (Page Cover2) Managed Care - September 2008 - Managed Care - September 2008 (Page Cover3) Managed Care - September 2008 - Managed Care - September 2008 (Page Cover4) Managed Care - September 2008 - Editor’s Memo (Page 1) Managed Care - September 2008 - Contents (Page 2) Managed Care - September 2008 - Contents (Page 3) Managed Care - September 2008 - Contents (Page 4) Managed Care - September 2008 - Legislation & Regulation (Page 5) Managed Care - September 2008 - Legislation & Regulation (Page 6) Managed Care - September 2008 - News and Commentary (Page 7) Managed Care - September 2008 - News and Commentary (Page 8) Managed Care - September 2008 - News and Commentary (Page 9) Managed Care - September 2008 - Medication Management (Page 10) Managed Care - September 2008 - Medication Management (Page 11) Managed Care - September 2008 - Medication Management (Page 12) Managed Care - September 2008 - Compensation Monitor (Page 13) Managed Care - September 2008 - Archimedes Lends Hippocrates a Hand (Page 14) Managed Care - September 2008 - Archimedes Lends Hippocrates a Hand (Page 15) Managed Care - September 2008 - Archimedes Lends Hippocrates a Hand (Page 16) Managed Care - September 2008 - Archimedes Lends Hippocrates a Hand (Page 17) Managed Care - September 2008 - Archimedes Lends Hippocrates a Hand (Page 18) Managed Care - September 2008 - Archimedes Lends Hippocrates a Hand (Page 19) Managed Care - September 2008 - Some Other Predictive Modeling Programs (Page 20) Managed Care - September 2008 - Some Other Predictive Modeling Programs (Page 21) Managed Care - September 2008 - Some Other Predictive Modeling Programs (Page 22) Managed Care - September 2008 - Some Other Predictive Modeling Programs (Page 23) Managed Care - September 2008 - Messing With Medicare Advantage (Page 24) Managed Care - September 2008 - Messing With Medicare Advantage (Page 25) Managed Care - September 2008 - Messing With Medicare Advantage (Page 26) Managed Care - September 2008 - Messing With Medicare Advantage (Page 27) Managed Care - September 2008 - Messing With Medicare Advantage (Page 28) Managed Care - September 2008 - Messing With Medicare Advantage (Page 29) Managed Care - September 2008 - The Trouble With MAC (Page 30) Managed Care - September 2008 - The Trouble With MAC (Page 31) Managed Care - September 2008 - The Trouble With MAC (Page 32) Managed Care - September 2008 - The Trouble With MAC (Page 33) Managed Care - September 2008 - The Trouble With MAC (Page 34) Managed Care - September 2008 - The Trouble With MAC (Page 35) Managed Care - September 2008 - The Trouble With MAC (Page 36) Managed Care - September 2008 - MedPAC’s Suggestions Sound Familiar (Page 37) Managed Care - September 2008 - MedPAC’s Suggestions Sound Familiar (Page 38) Managed Care - September 2008 - MedPAC’s Suggestions Sound Familiar (Page 39) Managed Care - September 2008 - MedPAC’s Suggestions Sound Familiar (Page 40) Managed Care - September 2008 - The Leader in Patient Satisfaction (Page 41) Managed Care - September 2008 - The Leader in Patient Satisfaction (Page 42) Managed Care - September 2008 - The Leader in Patient Satisfaction (Page 43) Managed Care - September 2008 - The Leader in Patient Satisfaction (Page 44) Managed Care - September 2008 - The Leader in Patient Satisfaction (Page 45) Managed Care - September 2008 - The Leader in Patient Satisfaction (Page 46) Managed Care - September 2008 - Formulary Files (Page 47) Managed Care - September 2008 - Plan Watch (Page 48) Managed Care - September 2008 - Plan Watch (Page 49) Managed Care - September 2008 - Tomorrow’s Medicine (Page 50) Managed Care - September 2008 - Ad Index (Page 51) Managed Care - September 2008 - Outlook (Page 52) Managed Care - September 2008 - Outlook (Page C1) Managed Care - September 2008 - Outlook (Page C2) Managed Care - September 2008 - Outlook (Page C3) Managed Care - September 2008 - Outlook (Page C4) Managed Care - September 2008 - Outlook (Page C5) Managed Care - September 2008 - Outlook (Page C6) Managed Care - September 2008 - Outlook (Page C7) Managed Care - September 2008 - Outlook (Page C8) Managed Care - September 2008 - Outlook (Page C9) Managed Care - September 2008 - Outlook (Page C10) Managed Care - September 2008 - Outlook (Page C11) Managed Care - September 2008 - Outlook (Page C12) Managed Care - September 2008 - Outlook (Page C13) Managed Care - September 2008 - Outlook (Page C14) Managed Care - September 2008 - Outlook (Page C15) Managed Care - September 2008 - Outlook (Page C16) Managed Care - September 2008 - Outlook (Page C17)
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