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- W2010290420 abstract "This study aims to examine how the Part D affects medication adherence to angiotensin-converting enzyme inhibitors (ACEIs) and angiotensin receptor blockers (ARBs) for dual eligibles. METHODS: This is a retrospective study with an unbalanced panel design utilizing Medicaid Analytic eXtract (MAX) data for 2004-2005 and Medicare data for 2006-2007. The study population was dual eligibles who had at least one claim on ACEIs or/and ARBs in eight states. Medication adherence was measured as a Proportion of Days Covered (PDC) in each year from 2004-2007 (Observation number 69,039). A separate analysis was conducted for community based residents (Observation number 54,266) and for nursing home residents (Observation number 14,773). RESULTS: Unadjusted PDCs showed little difference between pre-Part D and post-Part D program. Community based residents had a PDC of 0.775 under pre-Part D and 0.782 under post-Part D. For nursing home residents, a PDC was 0.813 under pre-Part D and 0.796 under post-Part D. This finding was also supported by the regression analyses: Although Part D program was positively associated with medication adherence, this was statistically insignificant (p 0.05). Non-white status, hospitalization, prescription drug based risk adjustment, and residence of states were negatively associated with medication adherence, and all of them were significant (p 0.05). CONCLUSIONS: Contrary to concerns from the public that that Part D program, delivered through private plans, may have some negative effect on prescription drug uses for dual eligibles compared to Medicaid program, we found no negative effect from the Part D on medication adherence to ACEIs or/and ARBs for dual eligibles." @default.
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- W2010290420 date "2012-06-01" @default.
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- W2010290420 title "ME3 A Policy Evaluation of Instituting Patient Navigation Program in Medicare: Does it Work for Lung Cancer Patients" @default.
- W2010290420 doi "https://doi.org/10.1016/j.jval.2012.03.019" @default.
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