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- Medicare Advantage: Brief Overview of History, Regional PPOs, Facts-at-a-Glance
- This white paper examines the history of Medicare Advantage, regional Medicare Advantage PPOs, local Medicare Advantage plans, participation and enrollment, benefits and premiums, and Medicare Advantage facts-at-a-glance. The Medicare Modernization Act MMA expands the existing options available to Medicare beneficiaries to enroll in private health plans. The MMA expanded the...
- White papers 2005-02-01
Additional Resources
- The Medicare Modernization Act of 2003: A Perspective for State Agencies
- State Medicaid programs are facing major challenges from the new Medicare Prescription Drug, Improvement and Modernization Act of 2003 MMA and its impact on dual eligibles, those Medicare beneficiaries who are also enrolled in Medicaid. The article explains how states should address the impact of the new Medicare Modernization Act...
- White papers 2004-02-23
- The Medicare Modernization Act of 2003: A Perspective for Pharmaceutical Manufacturers
- The impact of the Medicare Prescription Drug, Improvement and Modernization Act of 2003 MMA on pharmaceutical manufacturers is significant. While MMA did not result in price controls for pharmaceutical manufacturers, it will provide both challenges and opportunities in the areas of utilization of pharmaceuticals and net selling price reduction, technology...
- White papers 2004-02-01
- The New Prescription Drug Benefit Under the Medicare Modernization Act
- The new Medicare Prescription Drug Benefit Program created by the Medicare Modernization Act is set forth in Part D of Title XVIII of the Social Security Act and will become effective in 2006. The Centers for Medicare & Medicaid Services CMS has published its proposed rule, consisting of over 1,300...
- White papers 2005-01-01
- Medicare White Paper: Medicare Modernization Act (MMA) - The Michigan Perspective
- Rising health care costs in the last decade coupled with a widespread consensus that the elderly must have access to health care that includes prescription drugs have led to a profound legislative revision of how this country will fund and implement Medicare coverage. Provisions in the Medicare Modernization Act MMA...
- White papers 2004-06-01
- The Medicare Modernization Act of 2003: A Perspective for Health Plans
- The medicare prescription drug, Improvement and Modernization Act of 2003 MMA introduces profound and compelling changes to Medicare health plans. According to the report in the Act, the beleaguered Medicare+ Choice program, which saw plan participation drop from 346 in 1998 to 155 by the end of 2003, has been...
- White papers 2004-02-19
- Retiree Health Benefits: Options for Employment-Based Prescription Drug Benefits Under the Medicare Modernization Act
- The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 MMA created a prescription drug benefit for beneficiaries, called Medicare part D, beginning in January 2006. The paper determines the trends in employment-based retiree health coverage prior to the MMA and which MMA prescription drug options plan sponsors said they...
- White papers 2005-02-01
- E-Prescribing and the Medicare Modernization Act of 2003
- Provisions of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 are intended to foster electronic prescribing by requiring standards for interoperability and by permitting third parties to offset implementation costs. Although physicians have been slow to embrace e-prescribing, adoption may increase in 2006, when a new tide of...
- White papers 2005-10-01
- The Medicare Prescription Drug, Improvement and Modernization Act of 2003: How Will Pharmaceutical Companies Be Affected and How Should They Respond?
- The paper outlines that the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 have extensive effects on pharmaceutical companies. Some of the issues that companies need to consider include a new Medicare prescription drug discount card, formulary management and additional rebates, effect on Medicare Part B drugs, and additional...
- White papers 2004-01-15
- The Senate Bill: Medicare And Much Else
- Editor's Note: In the post below, Tim Jost looks at provisions of the Senate Democratic health reform bill dealing with Medicare, Medicaid and CHIP, and many other significant topics. In earlier posts, Jost took a first look at the Senate bill, provided a detailed look at several issues that arise under the bill's insurance reforms, and discussed...
- News items 2009-11-21
- The Medicare Prescription Drug, Improvement, and Modernization Act of 2003: How Will Pharmaceutical Companies Be Affected and How Should They Respond
- The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 will have significant effects on the 43% of pharmaceutical industry revenues that are derived from Medicare beneficiaries. The Act's wide-ranging effects include the following of particular interest to pharmaceutical companies as is mentioned in the report. The report estimated that...
- White papers 2004-01-01
- Positioning for Change: The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 - Insight for Providers
- While marking a major turning point in Medicare's history, the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 MMA also signals the beginning of new challenges, risks, and opportunities for providers?the key organizations delivering the latest pharmaceutical innovations to consumers. The article outlines that for the first time since...
- White papers
- The Medicare Prescription Drug, Improvement and Modernization Act: Regulatory Changes Beyond the Prescription Drug Benefit.
- The new Medicare Prescription Drug, Improvement and Modernization Act MMA, signed by President Bush on December 8, 2003, has been described as the most significant restructuring of the Medicare program since Medicare's enactment in 1965. Although attention has focused on the prescription drug benefit authorized by this law (the new...
- Research articles 2004-06-25
- Pegasystems Business Process Management Solution Supports Implementation of Medicare Prescription Drug, Improvement, and Modernization Act
- CAMBRIDGE, Mass. -- Pegasystems today announced its selection by ViPS, a WebMD company, to participate in the Retiree Drug Subsidy RDS contract. As part of the Medicare Prescription Drug, Improvement and Modernization Act MMA, the RDS contract was awarded by the Centers for Medicare and Medicaid Services CMS, the federal...
- Research articles 2005-08-03
- The Medicare Prescription Drug, Improvement, and Modernization Act of 2003: Opportunities for Health Plans
- The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 is best known for bringing drug coverage to seniors, but health plans will have a plethora of decisions to make about opportunities offered for them in the new law. Critical changes applicable to health plans include: Medicare managed care plans...
- White papers 2004-01-29
- Medicare Modernization: Catalyst for Risk and Opportunity
- Regulations are churning to operationalize the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 MMA. First steps focus providing Medicare beneficiaries - primarily older Americans and persons with disabilities - with a prescription drug benefit. This expansion creates a new roadmap for the health sciences industry as Medicare progresses...
- White papers 2005-04-25
- Projected Costs of New Medicare Act Have Been Overestimated, Says Wood Mackenzie
- BOSTON and EDINBURGH, Scotland -- New Study from Leader in Life Sciences Information Finds Slower-Than-Expected Growth in Drug Costs for Part D According to Wood Mackenzie's latest study, Medicare Insight, the Congressional Budget Office CBO and Centers for Medicare and Medicaid Services CMS have potentially overestimated the total 10-year...
- Research articles 2005-01-18
- The Facts About Medicare Advantage: Medicare Modernization Act
- Medicare Advantage is the new name for Medicare + Choice Plansùbut it's more than just a new name. Medicare Advantage gives people more health care coverage choices and better health care benefits. This fact sheet has basic information about how Medicare Advantage affects your health care choices. Medicare Advantage Plans...
- White papers 2004-04-01
- Medicare Act Gives Employers New Retiree Medical Options
- The Medicare Modernization Act of 2003 MMA brings welcome relief to employers reeling from the increasing impact of retiree medical programs on their bottom line. This new legislation, which includes optional prescription drug coverage for Medicare eligible individuals beginning in 2006, along with a tax-free subsidy to employers that continue...
- White papers 2004-06-17
- Who's Eligible for Financial Assistance Under Medicare Part D?
- Undoubtedly the public will be hearing much more about Medicare Part D as Prescription Drug Plans PDPs are selected and begin promoting their programs. At least one group of people with Medicare already received preliminary information in mailings from the Social Security Administration SSA: those with low incomes who may...
- White papers 2005-09-12
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