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Zhang and her fellow researchers compared spending on prescription drugs by about 35,000 people enrolled in the Medicare Advantage plan in Pennsylvania in the two years before implementation of Part D and the two years after. |
This seemed to correlate with an improvement in greater ability to afford medications, the study found. |
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That research, from the University of Maryland School of Pharmacy and funded by Novartis Pharmaceuticals, found "small but statistically significant" improvements in health status, based on daily activity levels, of those enrollees who previously had no prescription drug coverage. |
"The impact of Part D on medical spending really depended on prior drug coverage," Zhang said.01 by the log-rank test) but not with enalapril (4%, P=0. |
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Zhang and her fellow researchers compared spending on prescription drugs by about 35,000 people enrolled in the Medicare Advantage plan in Pennsylvania in the two years before implementation of Part D and the two years after.S. |
S.1 months over a placebo for patients with advanced prostate cancer who had had no luck with hormonal therapy … Questions might arise over the benefit versus the cost … Some doctors will try it for patients with less-advanced cancers. |
| Where the study didn't go was whether or not those who were using medications hit the 'doughnut hole' [and] went back to their old ways.gov]
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"This shows that those who didn't have drug coverage, once they did get it, accessed the medication they needed and that kept them out of doctors' offices and emergency rooms," said Joseph Baker, president of the Medicare Rights Center, who was not involved in the study.S. |
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The so-called doughnut hole is a gap in coverage that occurs when Medicare beneficiaries reach a limit in their spending. |
"The primary goal of Medicare Part D was to reduce beneficiaries' financial burden and improve medication use," explained Yuting Zhang, lead author of the NEJM study and an assistant professor of health economics at the University of Pittsburgh Graduate School of Public Health.S. |
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Their study, in the July 2 issue of the New England Journal of Medicine, also found that spending varied depending on the type of drug coverage participants had before enrolling in Part D.
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This probably was due to better medication adherence and, thus, better control of medical conditions, the researchers stated. |
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People in the first three groups all switched to Part D as of 2006.
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Medicare Part D, implemented at the beginning of 2006, was intended to help relieve the burden of prescription drug costs for seniors on Medicare.
At the time, 18 percent of people nationwide who were on Medicare had no drug coverage. |
"Some people also argued that if medication compliance improved, maybe that would potentially save the other non-drug medical-care spending.74 Bln (with a PE ration of 27. |