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Implementation of the Medicare Prescription Drug Benefit: What is Available to Rural Beneficiaries?
This project will focus on the impact of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 on rural beneficiaries, based on actual prescription drug plan contracts, comparing the impact of the legislation on rural beneficiaries to their urban counterparts. The project will have two phases. In the first phase, we will monitor and compile the submitted contracts from the prescription drug plans to the Centers for Medicare and Medicaid Services (CMS) to build a database that describes plan benefits and the service areas in which they locate, compiling all the data on the plans made available from CMS. In the second phase, we will use the database in descriptive analyses to address hypotheses regarding the rural impact of the legislation.
The results of this project will be presented in two policy papers. The first paper will outline prescription drug plan availability, by region, and with an urban-rural comparison. The second paper will focus on prescription drug plan benefit structure and will contain more detailed analysis of the plans and the areas in which they operate.
Publications
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Enrollment in Medicare Part D for Rural Beneficiaries Is Encouraging
Author(s): Timothy D. McBride, Tanchica L. Terry, Keith J. Mueller
Report Number: Rural Policy Brief Vol. 12, No. 1 (PB2007-1)
Date: 01 / 2007
Provides updated findings about Medicare beneficiary enrollment in prescription drug plans (PDPs) in rural and urban areas across the United States. Updates findings presented in RUPRI Center policy brief PB2006-8. Maps showing the percent of rural persons enrolled in Part D plans are available: black and white map, color map.
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Medicare Part D: Early Findings on Enrollment and Choices for Rural Beneficiaries
Author(s): Timothy D. McBride, Tanchica L. Terry, Keith J. Mueller
Report Number: Rural Policy Brief Vol. 10, No. 8 (PB2006-8 )
Date: 04 / 2006
Provides a first snapshot of enrollment in Medicare Part D in rural and urban areas across the United States and outlines the early findings from an analysis of plans available to rural persons under this program. These early findings show mixed results for the Medicare prescription drug plan (PDP) in rural areas, with enrollment in the Medicare stand-alone PDP higher in rural areas (21%) than in urban areas (13%). However, this is balanced by low enrollment in MA-PD plans in rural areas, which offer relatively less generous plan choices to rural persons. Additionally, enrollment in employer and federal plans is lower in rural areas (20%) than in urban areas (24%). Finally, the relatively high enrollment in Part D in rural areas reflects the high enrollment of Medicaid dual eligibles also covered by Medicare, who were not enrolled in Part D voluntarily.
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