The new Medicare Prescription Drug Coverage or "Part D" was scheduled for implementation in January, 2006, and it is clear that the implementation of the new benefit for dual eligibles and individuals participating in Drugs for the Elderly (DEL) is complex. The goal of this project is to help assess the impact of the new Medicare Prescription Drug Coverage on MaineCare and MaineCare members. Issues to be addressed include potential barriers to access to medications and continuity of medication use due to the new formularies to be used by private carriers; the potential for MaineCare expenditures for dual eligibles to increase if discontinuities in medication use lead to more nursing home admissions or home health visits; lack of information flowing from the new private carriers to MaineCare on members? medication utilization; and difficulty in monitoring quality of medication use and access to medications by MaineCare for dual eligibles.
Cutler Institute for Health and Social Policy
Assessment of the Impact of Medicare Prescription Drug Coverage on MaineCare and MaineCare Members
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Dr. Ziller to speak on Rural Implementation and Impact of Medicaid Expansions
The impact of the ACA Medicaid expansion on health care coverage and access in rural areas is largely unknown and will depend on the different state policy contexts in which the expansions are implemented and on existing system capacity. Understanding how many rural residents are likely to become newly eligible for Medicaid under the ACA, as well as their characteristics and health status, will provide important information to aid policymakers in structuring outreach and enrollment strategies and ensuring that the healthcare infrastructure and delivery systems in rural areas can address the needs of these individuals.
On March 18th, Dr. Ziller, Deputy Director of the Maine Rural Health Research Center at the University of Southern Maine, will present via a SHARE webinar, nationally representative information identifying rural-urban differences among low-income non-elderly adults (18 to 65) in the following areas:
- Medicaid eligibility, pre-ACA
- Medicaid participation, pre-ACA
- New Medicaid eligibility in 2014
Dr. Ziller will also analyze the characteristics associated with any rural-urban differences in the above areas. Characteristics to be considered include age, gender, employment, education, income, Census region, health status, current relationship to primary care provider, primary care supply, and FQHC availability.