Quality Measurement and Improvement Under the New Medicare Prescription Drug Benefit

May 05, 2013

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2. Aetna Prescription Drug Plans. Two PlansMedicare Advantage with Prescription Drug (also know as MA-PD) PlanPrescription Drug Plan (also know as PDP)Both will have Medication Therapy Management Program (also know as MTMP) as part of the planMTMP is KEY to making Medicare Part D successful and that success is based on INFORMATION.

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Quality Measurement and Improvement Under the New Medicare Prescription Drug Benefit

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Medicare Part D Prescription Drug Benefit

Medicare Part D Prescription Drug Benefit Presentation to: Health & Human Resources Subcommittee House Appropriations Committee Patrick W. Finnerty Department of Medical Assistance Services September 18, 2005 Richmond, Virginia Presentation Outline

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Medicare D Prescription Drug Benefit

Medicare Part D Objectives. What is It?What are my options?How do I choose?When does this happen?What will it cost me?. Remember. No need to be in a rushSign up any time between November 15, 2005 and May 15, 2006. Resource Limits. *Subtract $1,500 per person if burial is prepayed. Standard Benefit Summary.

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Standard Medicare Prescription Drug Benefit, 2013

Standard Medicare Prescription Drug Benefit, 2013. CATASTROPHIC COVERAGE. Catastrophic Coverage Limit = $6,955 in Estimated Total Drug Costs. Enrollee pays 5%. Plan pays 15 %; Medicare pays 80%. Brand-name drugs Enrollee pays 47.5%; Plan pays 2.5% 50% manufacturer discount

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New Medicare Prescription Drug Benefit: Opportunities for Quality Improvement Practical Implications

Potential for Enhancing Quality, But?. Positive AspectsBetter coverage for RxIncreased compliance with medicationData analysis re: use, compliance, adverse effects, drug interactions, costE-prescribingPerformance measurement. Issues to ResolveGaps in coverageCompliance-deficit during gap in c

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Quality Measurement Improvement in the New Medicare Prescription Drug Benefit Michael Anderson, Pharm.D. Director Cl

Proprietary and Confidential. Definition of Quality. Quality of care is the degree to which health services for individuals and populations:Increase the likelihood of desired health outcomesAre consistent with current pro

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Medicare Prescription Drug Coverage

Goals for Today: Part I. Describe the basic Medicare Prescription Drug Benefit Understand your current prescription drug coverageUnderstand your new options for prescription drug coverageKnow important dates to remember. Goals for Today: Part II. Determine if you are eligible for extra help t

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Medicare Prescription Drug Coverage

06/08/2010. 2. . Medicare Prescription Drug Coverage. Referred to as Medicare Part DAvailable to everyone with Medicare Drug plans approved by Medicare Run by private companies Must be enrolled in a plan to get coverageCoverage provided throughMedicare Prescription Drug Plans (PDPs)Medicare

730 views • 58 slides

Let’s Learn Medicare! Medicare Prescription Drug Benefit

Let’s Learn Medicare! Medicare Prescription Drug Benefit. September 2005. What is the Medicare Rights Center (MRC)? . MRC is the largest independent source of Medicare information and assistance in the U.S.

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CMS 2012 Medicare Prescription Drug Benefit Symposium

CMS 2012 Medicare Prescription Drug Benefit Symposium. Part D Protected Class Drugs. Monica Reed, Pharm.D., LCDR, USPHS, Medicare Drug Benefit and C&D Data Group, CMS. (ARS Response Card: Channel 41). Disclosure.

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Medicare Modernization Act, Part D Prescription Drug Benefit

Medicare Modernization Act, Part D Prescription Drug Benefit. Presentation for County Program Administrators September 1, 2005. Timeline: When It All Happens. Timeline: When It All Happens. II. Impacts. On Client On County Clinicians On County Psychiatrists On County Budgets.

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Standard Medicare Prescription Drug Benefit, 2013

Standard Medicare Prescription Drug Benefit, 2013. CATASTROPHIC COVERAGE. Catastrophic Coverage Limit = $6,733.75* in Estimated Total Drug Costs. Enrollee pays 5%. Plan pays 15 %; Medicare pays 80%. Brand-name drugs Enrollee pays 47.5%; Plan pays 2.5% 50% manufacturer discount

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The Medicare Prescription Drug, Improvement, and Modernization Act of 2003

The Medicare Prescription Drug, Improvement, and Modernization Act of 2003. Presented by Tricia Neuman, Sc.D. Vice President and Director, Medicare Policy Project The Henry J. Kaiser Family Foundation for Grantmakers In Health Washington, DC January 15, 2004. The Medicare Prescription Drug Law.

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Medicare and the New Prescription Drug Benefit

Medicare and the New Prescription Drug Benefit. Presented by Tricia Neuman, Sc.D. Vice President and Director, Medicare Policy Project The Henry J. Kaiser Family Foundation for KaiserEDU.org January 2004. Background and Context: Why Drug Coverage Matters. Exhibit 1.

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Medicare Prescription Drug, Improvement, and Modernization Act of 2003… The Drug Card

Medicare Prescription Drug, Improvement, and Modernization Act of 2003… The Drug Card. Agenda. Background on the drug card Eligibility Transitional Assistance Card sponsors Enrollment process Covered drugs Managed care and state programs Education plans Core messages

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Medicare Prescription Drug Improvement and Modernization Act of 2003

Medicare Prescription Drug Improvement and Modernization Act of 2003. David Adams, Evangelical Lutheran Church in America Jean C. Hemphill Ballard Spahr Andrews & Ingersoll, LLP November 30, 2004. 2003 Medicare Act. Creates New Medicare Part D for Prescription Drug Coverage

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Medicare Prescription Drug Coverage

Medicare Prescription Drug Coverage. Gale Arden Director Disabled and Elderly Health Programs Group Center for Medicare & State Operations Center for Medicare & Medicaid Services. Part D & Mental Health. Focus on transitioning the duals

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QIOs: Partners for Quality Improvement Under the Medicare Drug Benefit

QIOs: Partners for Quality Improvement Under the Medicare Drug Benefit. Presentation to The 2 nd Annual National Medicare Prescription Drug Congress David Schulke Executive Vice President The American Health Quality Association November 1, 2005.

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MEDICARE PRESCRIPTION DRUG BENEFIT

Exhibit 1. MEDICARE PRESCRIPTION DRUG BENEFIT. Presented by Juliette Cubanski, Ph.D. Principal Policy Analyst Medicare Policy Project The Henry J. Kaiser Family Foundation June 2009. Return to tutorials. Exhibit 2. Medicare Part A, Part B, and Part C.

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Medicare Prescription Drug Benefit: Part D

Medicare Prescription Drug Benefit: Part D. Health & Disability Advocates Stephanie Altman, J.D. 312-223-9600 Ext. 15 www.hdadvocates.org www.makemedicarework.org. Drug Options for Medicare Consumers in 2006. Three ways for Medicare Consumers to get Prescription Drugs:

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The Potential Impact of the New Prescription Drug Benefit on Medicare Beneficiaries

The Potential Impact of the New Prescription Drug Benefit on Medicare Beneficiaries. Stuart Guterman Director, Program on Medicare’s Future The Commonwealth Fund AcademyHealth Annual Research Meeting June 27, 2006. What Do We Want From The New Drug Benefit?.

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Medicare Prescription Drug Coverage

Medicare Prescription Drug Coverage. Extra Help with Medicare Prescription Drug Costs for Those Who Need it Most. What is New in Medicare?. New preventive benefits New health plan options Prescription drug coverage Starting January 1, 2006 With extra help for those who need it most.

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Medicare Prescription Drug Benefit Progress Report: Findings from the

Medicare Prescription Drug Benefit Progress Report: Findings from the Kaiser/Commonwealth/Tufts-New England Medical Center 2006 National Survey of Seniors and Prescription Drugs. Stuart Guterman Director, Program on Medicare’s Future The Commonwealth Fund

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