Medicare Part D prescription drug benefits and administrative burden in the care of dually eligible psychiatric patients

Psychiatric Services : a Journal of the American Psychiatric Association
Joshua E WilkDarrel A Regier

Abstract

With implementation of Medicare Part D, concerns were raised that patients with severe mental illness who were dually eligible for both Medicaid and Medicare benefits would be at clinical risk. In addition to concerns about medication access and continuity, there were concerns about administrative burden for physicians and their staffs. This study aimed to quantify the amount of administrative burden for psychiatrists and their staff related to Medicare Part D prescription drug plan administration in a national sample of dually eligible psychiatric patients and to identify factors associated with increased burden. A total of 5,833 psychiatrists were randomly selected from the American Medical Association's Physicians Masterfile. Responses were obtained from 64% (N=3,247) with a mailed survey using practice-based survey research methods during the first four months of Medicare Part D implementation (January to April 2006); 1,183 psychiatrists met eligibility requirements. Psychiatrists and their staff spent 45 minutes in administrative tasks for every one hour of direct patient care for dually eligible patients. Drug plan features, including prior authorization and preferred drug formularies, and medication access problems were ...Continue Reading

Citations

Apr 29, 2009·Archives of Internal Medicine·Alyce S AdamsStephen B Soumerai
Jun 8, 2010·Social Psychiatry and Psychiatric Epidemiology·Carla SharpMichael W Ross
Jun 5, 2013·Drugs & Aging·Camilla B PimentelBecky A Briesacher
Jul 23, 2009·Health Affairs·Stephen CrystalTobias Gerhard
Jun 12, 2009·Journal of the American Geriatrics Society·Kara ZivinKenneth M Langa
Jun 14, 2013·Research in Social & Administrative Pharmacy : RSAP·Junling WangWilliam C Cushman

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