Elizabeth Hargrave

NORC at the

University of Chicago

Jack Hoadley

Georgetown University

MedPAC

601 New Jersey Avenue, NW

Suite 9000

Washington, DC 20001

(202) 220-3700

Fax: (202) 220-3759

www.medpac.gov

•

•

The views expressed in this report

are those of the authors.

No endorsement by MedPAC

is intended or should be inferred.

Facilitating Access

to Medicare Part D

Drug Claims Data

A study conducted by staff from Georgetown University

and from NORC at the University of Chicago 

for the Medicare Payment Advisory Commission

March 2008 • No. 08–2
Facilitating Access to Medicare

Part D Drug Claims Data

FINAL REPORT

MARCH 20, 2008

SUBMITTED TO:

MEDICARE PAYMENT ADVISORY COMMISSION

RACHEL SCHMIDT, PROJECT OFFICER

PRESENTED BY:

ELIZABETH HARGRAVE

NORC AT THE UNIVERSITY OF CHICAGO

JACK HOADLEY

GEORGETOWN UNIVERSITY

NATIONAL OPINION RESEARCH CENTER (NORC)

AT THE UNIVERSITY OF CHICAGO

4350 EAST-WEST HIGHWAY

BETHESDA, MD 20814

(301) 634-9327
	
  
 

  
  

 	




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BASIC STATISTICS ON PART D

People in coverage gap  

Prescriptions for a given drug 

IMPACT OF PART D

How has access to drugs changed?  

Does drug coverage reduce use of other

health services or improve health status?

 

Does spending on drugs affect other

Medicare spending?

 

ELEMENTS OF PART D DESIGN

Effects of beneficiary choice  

Impact of the coverage gap on utilization

or medical spending

 

Impact of Medicaid-to-Medicare shift   

Access to prescribed drugs via exceptions

and appeals



Achieving favorable drug prices  

PAYMENT ISSUES

Use and spending by region 

Are payments and risk adjusters

accurate?

 

COST ESTIMATES AND IMPACT

ANALYSIS

      

EVALUATING PLAN PERFORMANCE

Impact of plan designs on use of generics

or preferred drugs

  

Best practices: encouraging/ discouraging

certain drugs

 

IMPROVING BENEFICIARY CARE

Patterns reflecting opportunities to

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Prescribing patterns of individual

physicians

  

COORDINATION OF BENEFITS

What implications does utilization in Part

D have for Medicaid and the VA?

 

DRUG SAFETY AND EFFECTIVENESS

Adverse effects  

Effectiveness for Medicare population  

Comparative effectiveness  

PUBLIC HEALTH

Health disparities and epidemiologic

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