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Medicare Part D How are Vulnerable Beneficiaries Faring?

Medicare Part D How are Vulnerable Beneficiaries Faring?. Laura Summer Health Policy Institute, Georgetown University With Support from The Commonwealth Fund Alliance for Health Reform November 5, 2007.

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Medicare Part D How are Vulnerable Beneficiaries Faring?

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  1. Medicare Part DHow are Vulnerable Beneficiaries Faring? Laura Summer Health Policy Institute, Georgetown University With Support from The Commonwealth Fund Alliance for Health Reform November 5, 2007

  2. Issues Related to Auto-Enrollment(Percent of Respondents Reporting How Often Issues Occur) Source: Georgetown University Health Policy Institute Survey of Beneficiary Counselors: Part D and Vulnerable Medicare Beneficiaries, November 2006.

  3. Resolving Issues Related to Auto-Enrollment(Percent of Respondents Reporting on Average Time Required to Resolve Issues) Source: Georgetown University Health Policy Institute Survey of Beneficiary Counselors: Part D and Vulnerable Medicare Beneficiaries, November 2006.

  4. Difficulties Related to Obtaining Drugs (Percent of Respondents Reporting how Often Issues Occur) Source: Georgetown University Health Policy Institute Survey of Beneficiary Counselors: Part D and Vulnerable Medicare Beneficiaries, November 2006.

  5. Consequences of Difficulties Related to Procedures to Obtain Drugs (Percent of Respondents Reporting How Often Consequences Occur) Source: Georgetown University Health Policy Institute Survey of Beneficiary Counselors: Part D and Vulnerable Medicare Beneficiaries, November 2006.

  6. Reasons to Choose New Part D Plans in 2008 >5 million beneficiaries Source: Georgetown University Health Policy Institute calculations based on 2008 program and plan data. October 2007.

  7. Choosing and Using New Part D Plans in 2008 >5 million beneficiaries *Some beneficiaries with LIS will be randomly assigned or re-assigned by CMS. Source: Georgetown University Health Policy Institute, October 2007

  8. Issues Affecting Low-Income Beneficiaries(Number of beneficiaries affected) 447,000 500,000 2,567,000 3,300,000

  9. Challenges Associated with the Part D Program(Open-ended Responses: “Based on your experience, what are the two biggest challenges in assuring that Part D works well for beneficiaries?”) * ”Other” includes various challenges, each representing 4% or less of responses. Source: Georgetown University Health Policy Institute Survey of Beneficiary Counselors: Part D and Vulnerable Medicare Beneficiaries, November 2006.

  10. Policies and practices to reduce program complexity for beneficiaries • “Beneficiary-Centered” rather than “Random” Assignment • Uniform utilization management practices • More monitoring: utilization management and marketing • Improve electronic communication • Simplify LIS enrollment: resource tests, MSP alignment

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