Examines recent trends in health care spending, as well as changes in financing & delivery & their effects on health care providers, Medicare beneficiaries, & other groups. Presents the growth in national health care expenditures, & compares the experience of private payers & the Medicare program in controlling per capita spending. Analyzes hospital costs, revenues, sources of payment & adaptation in operations in an environment of increasing financial pressure. Addresses recent developments in Medicare's risk contracting program, & compares Medicare policies across post-acute care providers.
In 2000, as the Congress considered adding a prescription drug (PD) benefit to Medicare, there was increased interest in understanding the ways that gov¿t. purchasers have controlled their costs for PD and whether these methods can be used to reduce PD costs for Medicare beneficiaries. One proposal would allow Medicare beneficiaries to purchase PD from pharmacies at the same prices that are available to fed. purchasers or state Medicaid programs. This report provides information on: the fed. drug price discounts available to fed. and non-fed. purchasers and the size of those discounts; and the potential effects that extending such discounts to non-fed. purchasers may have on outpatient drug prices paid by fed. and non-fed. purchasers. Illus.
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