Report: Dual eligibles to cost more than others in drug plan

Share this article:

Dual eligibles will cost more than other beneficiaries for prescription drug plans participating in the new drug benefit, according to data released last month.

The drug use and costs of this population "may be sharply higher than those of other Medicare beneficiaries," according to an issue brief. Mathematica Policy Research Inc. disclosed state-by-state data in its report released August 22.

Medicaid reimbursement for prescription drugs for disabled duals under 65 years old was $2,143 in 1999, nearly 50% higher than the average reimbursement for disabled duals age 65 and over. Dual eligibles who receive both Medicaid and Medicare coverage make up about 70% of nursing home residents.

The Mathematica issue brief is available at http://www.mathematica.org/.

Share this article:

More in News

CMS updates coding instructions for hospice site of service, principal diagnosis

CMS updates coding instructions for hospice site of ...

A new Medicare hospice manual update includes instructions for which principal diagnosis codes are acceptable, and clarifies which codes should be used for services in a skilled versus non-skilled nursing ...

Vast majority of nursing home residents chronically constipated, and it's not well ...

Chronic constipation is highly prevalent in nursing homes and not well controlled, leading to a high likelihood that residents develop fecal impaction, according to findings from a first-of-its kind study.

Federal judge dismisses nursing home 'kickback' case; upholds large X-ray company's 'swapping' ...

The way mobile x-ray company Mobilex bills nursing homes is acceptable, a federal judge recently determined. Mobilex is the nation's largest provider of mobile diagnostic services. It had been facing whistleblower charges that it effectively paid kickbacks to nursing homes through an arrangement known as ...