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Partners in D: A brief overview. A presentation for PILLS, 9.17.2009 By UCSF Partners in D 2009-2010 coordinators Lucia Huynh, Margrit Rosado, and Nancy Hung. What is Medicare?. Medicare = US government heath insurance plan for people who are: 65 and older Permanently disabled

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Partners in D: A brief overview

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Partners in d a brief overview l.jpg

Partners in D: A brief overview

A presentation for PILLS, 9.17.2009

By UCSF Partners in D 2009-2010 coordinators Lucia Huynh, Margrit Rosado, and Nancy Hung


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What is Medicare?

  • Medicare = US government heath insurance plan for people who are:

    • 65 and older

    • Permanently disabled

    • End-stage renal failure

    • Amyotrophic lateral sclerosis (ALS, aka Lou Gehrig’s disease)


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Medicare consists of three coverage subparts:

  • Part A – government coverage of inpatient services (e.g. hospital care)

  • Part B – government coverage of outpatient services (e.g. doctor visits)

  • Part D – government-subsidized coverage of outpatient prescription drugs by private prescription drug plans

  • Part C – government-subsidized all-in-one coverage of Part A, B, and often D services by private plans (e.g. HMOs, PPOs, PFFSs, etc.)


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History of Medicare Part D

  • Established by the Medicare Modernization Act of 2003 (MMA 2003)

  • Added to Medicare to provide outpatient prescription drug coverage for Medicare recipients

    • Prior to Part D, no such coverage available under Medicare

  • Benefit began January 1, 2006

  • Part D is optional – beneficiaries wanting coverage must enroll and choose a prescription drug plan


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Medicare Part D(ilemma)

  • Over 50 Part D prescription drug plans in California alone

  • Each plan offers varying coverage of different drugs, with different payment schemes

  • Finding best plan is a complex process that requires knowledge of patient’s drug regimen, income level, and current coverage

  • Plans change every year, so diligence necessary

  • Coverage gaps, enrollment penalties, and other formidable hurdles too complex to get into!


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So how does a Medicare beneficiary choose!?


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Partners in D

  • Statewide initiative started by UCSF School of Pharmacy faculty

  • Supported by a $3.7 million grant from the Amgen Foundation over 3.5 years

  • Includes 7 schools of pharmacy in California

    • UCSF, UCSD, USC, UOP, Touro, Loma Linda, and Western

  • Specialized Part D training for student pharmacists

  • One-on-one counseling to help underserved Medicare patients get the most out of their prescription drug benefit

  • Peer-to-peer education of future prescribers

  • http://partnersind.com/


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Get involved with Partners in D

We are currently looking for translators in:

  • Spanish

  • Russian

  • Cantonese

  • Mandarin

  • Other languages possible as well


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Requirements include:

  • Attending an interpreter training session

  • Three hours of volunteering at a Partners in D outreach

    • Most outreaches occur during the second half of November and first half of December

    • Most occur on weekends

    • Most are located in SF, but a couple are in Berkeley


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Volunteers get the chance to:

  • Learn more about Medicare Part D

  • Experience one-on-one interaction with patients in an intimate setting

  • Observe student pharmacists / pharmacists in action outside a traditional pharmacy

  • Work closely with UCSF faculty members

  • Serve the community!


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Thank You!


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A peek into Partners in D …


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