Riding the rollercoaster: the ups and downs in out-of-pocket spending under the standard Medicare drug benefit
Department of Medicine, Division of Geriatric Medicine; Meyers Primary Care Institute
Medical Subject Headings
*Actuarial Analysis; Aged; Aged, 80 and over; Chronic Disease; Female; Financing, Personal; Health Expenditures; Health Maintenance Organizations; Humans; Insurance, Pharmaceutical Services; Male; Marital Status; Medicare; Poverty; United States
Health Services Research | Primary Care
This study projects how much Medicare beneficiaries who sign up for the standard Part D drug benefit in 2006 will pay in quarterly out-of-pocket payments through 2008. In the first year we estimate that about 38 percent of enrollees will hit the benefit's no-coverage zone, known as the "doughnut hole," and that 14 percent will exceed the catastrophic threshold. Because drug spending is highly persistent over time, beneficiaries who experience the biggest gaps in coverage are likely to do so year after year, with potentially serious financial consequences.
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Citation: Health Aff (Millwood). 2005 Jul-Aug;24(4):1022-31. Link to article on publisher's site
Stuart, Bruce; Briesacher, Becky A.; Shea, Dennis G.; Cooper, Barbara; Baysac, Fatima S.; and Limcangco, M. Rhonda, "Riding the rollercoaster: the ups and downs in out-of-pocket spending under the standard Medicare drug benefit" (2005). Meyers Primary Care Institute Publications and Presentations. 367.