Document Detail


Impact of Part D Low-income Subsidies on Medication Patterns for Medicare Beneficiaries With Diabetes.
MedLine Citation:
PMID:  23047779     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
BACKGROUND: : It is not known whether low-income subsidies (LIS) under Medicare Part D help beneficiaries overcome impediments to medication use associated with poor socioeconomic status and high disease burden.
OBJECTIVES: : To compare Medicare beneficiaries with LIS and Medicaid (duals), LIS without dual eligibility, and non-LIS recipients on use of medications recommended in diabetes treatment.
RESEARCH DESIGN: : Fixed-effect comparisons among beneficiaries in the same Part D plans in 2006-2007.
SUBJECTS: : Nationally representative sample of enrollees in Part D prescription drug plans. A total of 109,292 beneficiaries were in 204 prescription drug plans; 47.5% non-LIS, 44.4% duals, and 8.1% nondual LIS recipients.
MEASURES: : Medications included antidiabetic agents, renin-angiotensin-aldosterone system inhibitors, and antihyperlipidemics. Drug use was measured by exposure, duration of therapy, and medication possession ratio.
RESULTS: : The LIS dual cohort had significantly higher comorbidity compared with non-LIS comparisons, LIS nonduals were significantly more likely to take medications in all 3 drug classes compared with non-LIS recipients, but differences were small (between 2% and 4%; P<0.05). Non-LIS recipients and duals had equivalent exposure to any antidiabetic drug and antihyperlipidemics, but duals were 3% less likely to receive renin-angiotensin-aldosterone system inhibitors compared with non-LIS recipients (P<0.05). Small differences in adjusted values for duration of therapy and medication possession ratio among the 3 cohorts were also observed, none of which were clinically meaningful.
CONCLUSIONS: : Similarities in medication utilization among Part D enrollees with and without LIS coverage supports the program objective of providing enhanced access to needed medications for diverse groups of Medicare beneficiaries.
Authors:
Bruce Stuart; Xianghua Yin; Amy Davidoff; Linda Simoni-Wastila; Ilene Zuckerman; J Samantha Shoemaker; Jalpa Doshi
Related Documents :
24438709 - Combating medical device fouling.
9553329 - Clinical application of the new civil airman vision standards and certification procedu...
24552859 - Direct acting inhibitors of ammoniagenesis: a role in post-tips encephalopathy?
15672669 - Defensive effect of surface flavonoid aglycones of betula pubescens leaves against firs...
19038639 - Certification, recertification, and maintenance: continuing to learn.
1587989 - The prevalence and aeromedical certification considerations of contact lens use by civi...
20064809 - Enhancing laboratory report contents to improve outpatient management of test results.
19163869 - Proactive medication assistances based on spatiotemporal context awareness of aged pers...
10537759 - The role of medical therapy in the rank order of glaucoma treatment.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Medical care     Volume:  50     ISSN:  1537-1948     ISO Abbreviation:  Med Care     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-10-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0230027     Medline TA:  Med Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  913-9     Citation Subset:  IM    
Affiliation:
*Pharmaceutical Health Services Research Department, The Peter Lamy Center on Drug Therapy and Aging, University of Maryland School of Pharmacy †Epidemiology and Public Health Department, The Peter Lamy Center on Drug Therapy and Aging, University of Maryland, Baltimore, MD ‡Division of General Internal Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

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


Previous Document:  The ethics of drug development and promotion: the need for a wider view.
Next Document:  The state of disparities in opportunistic infection prophylaxis for blacks with HIV/AIDS.