0
Invited Commentary |

Supporting High-Value Part D Medicare Choices for Low-Income Beneficiaries:  Comment on “Cognition and Take-up of Subsidized Drug Benefits by Medicare Beneficiaries”

Karen L. Margolis, MD, MPH
JAMA Intern Med. 2013;173(12):1107-1108. doi:10.1001/jamainternmed.2013.6809.
Text Size: A A A
Published online

Extract

The Medicare outpatient prescription drug benefit (Part D), established as a voluntary program by the Medicare Modernization Act of 2003 with coverage starting in 2006, filled an important gap in the affordability of medical care for older Americans. All 49 million elderly and disabled Medicare beneficiaries have access to the drug benefit through private plans approved by the federal government. The standard benefit in 2013 has a $325 deductible and 25% coinsurance up to an initial coverage limit of $2970 in total drug costs. After this limit is reached, enrollees are responsible for a larger share of their drug costs until they reach out-of-pocket costs of $4750. Following this coverage gap, more generous benefits resume. Although the Patient Protection and Affordable Care Act of 2010 (ACA) made some important changes to Part D, in particular phasing out the coverage gap (or “doughnut hole”) by 2020, the cost of premiums, deductibles, and coinsurance still are a major obstacle to obtaining medications for many Medicare beneficiaries.

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Topics
Jobs
JAMAevidence.com

The Rational Clinical Examination
Assessing Cognition

The Rational Clinical Examination
Relationship Between Cognition and Incapacity

brightcove.createExperiences();