First-year Medicare Part D prescription drug benefits: medication access and continuity among dual eligible psychiatric patients

The Journal of Clinical Psychiatry
Joyce C WestDarrel A Regier

Abstract

This study provides national data on medication access and continuity problems experienced during the first year of the Medicare Part D prescription drug program, which was implemented on January 1, 2006, among a national sample of Medicare and Medicaid "dual eligible" psychiatric patients. Practice-based research methods were used to collect clinician-reported data across the full range of public and private psychiatric treatment settings. A random sample of psychiatrists was selected from the American Medical Association Physician Masterfile. Among these physicians, 1,490 provided clinically detailed data on a systematically selected sample of 2,941 dual eligible psychiatric patients. Overall, 43.3% of patients were reported to be unable to obtain clinically indicated medication refills or new prescriptions in 2006 because they were not covered or approved; 28.9% discontinued or temporarily stopped their medication(s) as a result of prescription drug coverage or management issues; and 27.7% were reported to be previously stable on their medications but were required to switch medications. Adjusting for case mix to control for sociodemographic and clinical confounders, the predicted probability of an adverse event among patien...Continue Reading

Citations

Jun 5, 2013·Drugs & Aging·Camilla B PimentelBecky A Briesacher
Sep 3, 2009·Psychiatric Services : a Journal of the American Psychiatric Association·Haiden A HuskampRichard G Frank
Aug 3, 2011·Journal of the American Geriatrics Society·Jennifer M PolinskiWilliam H Shrank
Jan 7, 2014·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Joyce C WestDarrel A Regier
Jan 1, 2014·Journal of Gerontological Social Work·Louanne BakkRuth E Dunkle
Jul 25, 2017·Journal of Managed Care & Specialty Pharmacy·Yujin ParkJohn Ko
Apr 11, 2012·Social Work in Public Health·Melissa Anne Hensley
Jul 1, 2020·The Journal of Nervous and Mental Disease·Brian S Barnett, J Alexander Bodkin

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