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Medicare Part D

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What is Medicare Part D? Find at least two online sources of information describing the main objectives of the program and discussing the issues challenging the implementation of the program. This information should pertain to the period before and just after the implementation of the program (January, 2006).

Medicare Part D has become one of the established programs in the field of managed care. Find an online source of information evaluating the program as it exists today. Are the concerns raised at the time of the implementation of the program still issues today? Based on your findings, evaluate the pros and cons related to the program.

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What is Medicare Part D?

A federal program to subsidize the costs of prescription drugs for Medicare beneficiaries in the United States. It helps pay for outpatient prescription drug coverage through private health plans. Individuals are eligible for prescription drug coverage under a Part D plan if they are entitled to benefits under Medicare Part A and/or enrolled in Part B. Plans are required to provide a "standard" benefit or one that is actuarially equivalent, and may offer more generous benefits. Beneficiaries can obtain the Part D drug benefit through two types of private plans: they can join a Prescription Drug Plan (PDP) for drug coverage only or they can join a Medicare Advantage plan (MA) that covers both medical services and prescription drugs.
Source: Medicare: A Primer," Kaiser Family Foundation, April 2010. http://www.kff.org/medicare/upload/7615-03.pdf

Challenges:
Unfortunetly provider goals are not aligned with Medicare drug coverage goals, meaning that PDP's are rewarded for focusing on low cost drugs to all beneficiaries, while providers are rewarded for quality of care sometimes involving expensive technologies. Medicare is also facing significant financial challenges. However, it ...

Solution Summary

The expert defines Medicare Part D. Two online sources of information describing the main objectives of the program is found.

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Health Policy and Medicare Part D

Write a 7-9 page paper with bibliography. Your written assignments must follow APA guidelines. Be sure to support your work with specific citations from this week's Learning Resources and additional scholarly sources as appropriate. Refer to the Pocket Guide to APA Style to ensure in-text citations and reference list are correct.

You will synthesize your understanding of why Medicare Part D passed, as well as the influence of the various interest groups and governmental entities during this process. Make sure to discuss both the policy process and the policy environment—that is, the key players involved and other circumstances that shaped this policy-making effort. For this assignment, address the following questions, doing further research as needed:


How did various stakeholder groups influence the final outcome of Medicare Part D legislation?


What were the specific strategies and tools that were used most effectively?


Does the fact that Medicare Part D passed corresponds with your understanding of policy and politics, or did this surprise you? Explain your response.

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