| Economic effect of an expansion of pharmacy benefits on total health care expenditures by a state Medicaid program. | |
| | |
MedLine Citation:
|
PMID: 19926554 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVES: To evaluate the economic effect of a pharmacy benefit expansion on a population of Oklahoma Medicaid recipients and to determine whether recipients who routinely maximized their monthly prescription limit (cap) before the benefit expansion benefited more from the expansion than the remainder of the study population. DESIGN: Retrospective study. SETTING: Oklahoma Medicaid claims data from January 1, 2003, to December 31, 2004. PATIENTS: Data from 15,936 Oklahoma Medicaid recipients. INTERVENTION: Retrospective administrative analysis using the Oklahoma Health Care Authority pharmacy and medical claims databases. MAIN OUTCOME MEASURES: Total health care expenditures per recipient per year, total medical expenditures per recipient per year, and total pharmacy expenditures per recipient per year. RESULTS: Total health care expenditures increased 17% after the benefit expansion (P < 0.0001). Of this increase, 65% was attributed to pharmacy expenditures and 35% to medical expenditures. However, a subpopulation of recipients who routinely reached their prescription limit before the expansion had a statistically significant increase in total and pharmacy expenditures; a statistically significant increase in medical expenditures was not observed. CONCLUSION: Although total health care expenditures increased after a monthly pharmacy benefit in a Medicaid population was expanded, a subpopulation of recipients identified as high pharmacy users before the expansion did not have a statistically significant increase in medical expenditures, whereas those who were non-high users experienced a significant increase. Additionally, this subpopulation experienced a nonsignificant decrease in hospital expenditures. These results could suggest that this subpopulation was affected differently than the overall population by the expansion of the Medicaid pharmacy benefit. |
| | |
Authors:
|
Tara L Jenkins; Donald L Harrison; Elgene W Jacobs; Barbara R Neas; Tracy M Hagemann |
Related Documents
:
|
9636934 - Differences between descriptive and multivariate estimates of the impact of chevron cor... 18087994 - Household expenditure in dental health care: national estimations in mexico for 2000, 2... 12759914 - Estimation of the determinants of household health care expenditures in nepal with cont... 2020074 - Liberal benefits, conservative spending. the physicians for a national health program p... 8922964 - Application of group process model to performance appraisal development in a cqi enviro... 18038064 - A systematic review of inequalities in the use of maternal health care in developing co... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Journal of the American Pharmacists Association : JAPhA Volume: 49 ISSN: 1544-3450 ISO Abbreviation: J Am Pharm Assoc (2003) Publication Date: 2009 Nov-Dec |
Date Detail:
|
Created Date: 2009-11-20 Completed Date: 2010-01-27 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 101176252 Medline TA: J Am Pharm Assoc (2003) Country: United States |
Other Details:
|
Languages: eng Pagination: 744-50 Citation Subset: IM |
Affiliation:
|
College of Pharmacy, University of Oklahoma, Oklahoma City, USA. tjenkins@kumc.edu |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Health Expenditures* Humans Insurance, Pharmaceutical Services* Medicaid / economics* Retrospective Studies United States |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: White paper on designing a risk evaluation and mitigation strategies (REMS) system to optimize the b...
Next Document: National study of medications associated with injury in elderly Medicare/Medicaid dual enrollees dur...