Key result
The transition to Medicare Part D in 2006 will be challenging for beneficiaries and healthcare providers, likely requiring medication regimen adjustments and increased prior authorizations.
Provides practical information for healthcare providers to navigate the implementation of Medicare Part D and its impact on prescription drug coverage.
Answers are grounded in this paper and cite their sources.
Alerts providers to formulary transition burdens; leaves open effects on adherence and outcomes.
PURPOSE: To provide an overview of Medicare Part D and useful practice information for healthcare providers to help guide Medicare beneficiaries when choosing a Part D plan. DATA SOURCES: Documents written by the Centers for Medicare & Medicaid Services, Kaiser Family Foundation, and United States Department of Health & Human Services. CONCLUSIONS: Although Medicare Part D can provide assistance with prescription drug costs to Medicare beneficiaries, the transition to Medicare Part D in 2006 will be challenging for both beneficiaries and healthcare providers. It is important that both Medicare beneficiaries and healthcare providers understand the complex drug benefit to facilitate the transition to Medicare Part D. IMPLICATIONS FOR PRACTICE: It is likely that Medicare Part D formularies will require adjustments to many Medicare beneficiaries' medication regimens. Additionally, it is possible that there will be an increase in the number of prior authorizations and other requirements such as step therapy requests.
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Leticia R. Moczygemba (2006) reported a review. Medicare Part D was evaluated. The transition to Medicare Part D in 2006 will be challenging for beneficiaries and healthcare providers, likely requiring medication regimen adjustments and increased prior authorizations.
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