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Medicare Part D How are Vulnerable Beneficiaries Faring?. Laura Summer Health Policy Institute, Georgetown University With Support from The Commonwealth Fund Alliance for Health Reform November 5, 2007.

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medicare part d how are vulnerable beneficiaries faring

Medicare Part DHow are Vulnerable Beneficiaries Faring?

Laura Summer

Health Policy Institute, Georgetown University

With Support from The Commonwealth Fund

Alliance for Health Reform

November 5, 2007

issues related to auto enrollment percent of respondents reporting how often issues occur
Issues Related to Auto-Enrollment(Percent of Respondents Reporting How Often Issues Occur)

Source: Georgetown University Health Policy Institute Survey of Beneficiary Counselors: Part D and Vulnerable Medicare Beneficiaries, November 2006.

slide3
Resolving Issues Related to Auto-Enrollment(Percent of Respondents Reporting on Average Time Required to Resolve Issues)

Source: Georgetown University Health Policy Institute Survey of Beneficiary Counselors: Part D and Vulnerable Medicare Beneficiaries, November 2006.

difficulties related to obtaining drugs percent of respondents reporting how often issues occur
Difficulties Related to Obtaining Drugs (Percent of Respondents Reporting how Often Issues Occur)

Source: Georgetown University Health Policy Institute Survey of Beneficiary Counselors: Part D and Vulnerable Medicare Beneficiaries, November 2006.

slide5
Consequences of Difficulties Related to Procedures to Obtain Drugs (Percent of Respondents Reporting How Often Consequences Occur)

Source: Georgetown University Health Policy Institute Survey of Beneficiary Counselors: Part D and Vulnerable Medicare Beneficiaries, November 2006.

reasons to choose new part d plans in 2008
Reasons to Choose New Part D Plans in 2008

>5 million beneficiaries

Source: Georgetown University Health Policy Institute calculations based on 2008 program and plan data. October 2007.

choosing and using new part d plans in 2008
Choosing and Using New Part D Plans in 2008

>5 million beneficiaries

*Some beneficiaries with LIS will be randomly assigned or re-assigned by CMS.

Source: Georgetown University Health Policy Institute, October 2007

issues affecting low income beneficiaries number of beneficiaries affected
Issues Affecting Low-Income Beneficiaries(Number of beneficiaries affected)

447,000

500,000

2,567,000

3,300,000

slide9

Challenges Associated with the Part D Program(Open-ended Responses: “Based on your experience, what are the two biggest challenges in assuring that Part D works well for beneficiaries?”)

* ”Other” includes various challenges, each representing 4% or less of responses.

Source: Georgetown University Health Policy Institute Survey of Beneficiary Counselors: Part D and Vulnerable Medicare Beneficiaries, November 2006.

policies and practices to reduce program complexity for beneficiaries
Policies and practices to reduce program complexity for beneficiaries
  • “Beneficiary-Centered” rather than “Random” Assignment
  • Uniform utilization management practices
  • More monitoring: utilization management and marketing
  • Improve electronic communication
  • Simplify LIS enrollment: resource tests, MSP alignment