Document Detail

Capitation payment for medicaid pharmacy services: impact on non-medicaid prescriptions.
MedLine Citation:
PMID:  7012466     Owner:  NLM     Status:  MEDLINE    
Although pharmacy organizations have been instrumental in the movement to repeal antisubstitution laws, there is evidence that under the current fee-for-service system pharmacists have not exercised their newly obtained prerogatives freely. A previous study has demonstrated that paying pharmacists on a capitation basis for their Medicaid patients effects a highly significant increase in the rate of generic substitution. The present study was conducted to determine whether the pharmacists' newly acquired generic substitution habits "spill over" from Medicaid prescriptions as a result of capitation reimbursement. The results indicate that pharmacists who participated in the capitation experiment for the Medicaid drug program significantly increased their rate of generic substitution on non-Medicaid prescriptions. It was concluded that the same pharmacies that increased their substitution rate in the Medicaid program under capitation also increased their substitution rate on non-Medicaid prescriptions. Finally, generic substitutions in both the Medicaid and non-Medicaid studies generally involved the same labelers as well as drugs in the same therapeutic categories and with the same generic classifications.
D P Lipson; C E Yesalis; F J Kohout; G J Norwood
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Medical care     Volume:  19     ISSN:  0025-7079     ISO Abbreviation:  Med Care     Publication Date:  1981 Mar 
Date Detail:
Created Date:  1981-06-13     Completed Date:  1981-06-13     Revised Date:  2000-12-18    
Medline Journal Info:
Nlm Unique ID:  0230027     Medline TA:  Med Care     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  342-53     Citation Subset:  IM    
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MeSH Terms
Capitation Fee*
Costs and Cost Analysis
Fees and Charges*
Medicaid / economics*
Pharmaceutical Services / economics*
Prescription Fees
Reimbursement Mechanisms*
Therapeutic Equivalency
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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