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Impact of Medicare changes in pharmacy reimbursement on patient care: two case reports
1The Ohio State University Hospitals, Columbus, Ohio 43210, USA. jerry.siegel@osumc.edu
Purpose:
Two case reports illustrate the impact of changes in pharmacy reimbursement associated with the Medicare Prescription Drug Improvement and Modernization Act (MMA) on patient care.
Summary:
The Medicare Part D benefit is complex and difficult for patients to understand. A patient's personal financial situation and quality of life issues may enter into decisions about enrolling in Part D and the use of drug therapy. Local coverage decisions by the Centers for Medicare and Medicaid Services can limit access to drug therapy and raise ethical dilemmas.
Conclusion:
Changes in pharmacy reimbursement associated with MMA has the potential to markedly impact patient care and outcomes.
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