May 21st 2024
A new program from Optum Rx would offer greater predictability by using a guarantee-based pricing model.
Impact of Celecoxib Restrictions in Medicare Beneficiaries With Arthritis
A formulary restriction policy in a Medicare population was associated with lower celecoxib utilization; however, higher gastrointestinal- and arthritis-related medical costs were observed.
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The Structure of Risk Adjustment for Private Plans in Medicare
Health plan accounting data are used to test how well the CMSHCC risk adjustment system tracks relative costs of treating various diagnoses: not very well.
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VHA Pharmacy Use in Veterans With Medicare Drug Coverage
Greater Medicare managed care benefit levels reduce both the likelihood and magnitude of Veterans Health Administration pharmacy use by Medicare dually enrolled veterans.
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