Prescription Drug Coverage Insurance Planning Analytical Essay by Nicky

Prescription Drug Coverage Insurance Planning
A review of the new Medicare prescription drug plan.
# 149359 | 2,106 words | 4 sources | APA | 2011 | US
Published on Dec 11, 2011 in Political Science (U.S.) , Medical and Health (Public Health Issues)

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The paper examines the specific challenges that confront the Medicare Part D plan and the segments of population that have enrolled in the plan. The paper explores how the plan might be improved and considers the scenario of a Federal government mandate for employers to offer their employees the same coverage as Medicare's Part D. In addition, the paper examines the factors that might influence the demand response for this type of drug coverage within the employed population, but would not affect the Medicare population.

Specific Challenges Confronting the Plan and its Enrollees
Segment of the Population Experiencing Most Difficulty
Measures to Improve Medicare Part D Prescription Drug Plan
Scenario Proposed

From the Paper:

"The work of the GAO entitled: "Challenges in Enrolling New Dual-Eligible Beneficiaries" (2007) states that challenges identified in the enrollment procedures and implementation of Medicare's Part D coverage policy results in specific challenges for "dual-eligible beneficiaries, pharmacies, and the Medicare program." (GA, 2007, p1) The largest part of individuals that are dual-eligible beneficiaries, stated to generally be those who "have not yet signed up for a PDP and who become eligible for Medicaid may be unable to smoothly access their drug benefit for at least 5 weeks given the time it takes to enroll them in PDPs and communicate information to beneficiaries and pharmacies." (GAO, 2007, p.1) Additionally this lag in coverage will result in the pharmacies being affected negatively when information concerning a beneficiary's dual eligibility has not been processed and is not available to the pharmacy in that the pharmacy will experiencing difficulty in the process of submitting claims and in accurate copayment charges.
"The Kaiser Family Foundation identifies several specific challenges and states that one of these challenges is noted as a problem that enrollees have experienced in communicating with their drug plans. The Kaiser Family Foundation states that call centers have "been found to consistently provide incorrect information to enrollees and their advocates" and cites incidents in which the call centers have "provided conflicting information to advocates and physicians who have called about the same case on the same day." (Gottlich, 2006, p.ii)"

Sample of Sources Used:

  • Challenges in Enrolling New Dual-Eligible Beneficiaries Medicare Part D (2007) Challenges in Enrolling New Dual-Eligible Beneficiaries. May 2007. GAO Highlights of GAO-07-272. Online available at: Accessed on 10 July 2009.
  • Emerick, Terri (2006) Part D: Rx for Disaster. 12 May 2006. ePluribus Media Journal. Online available at: Accessed 10 July 2009.
  • Okunade, Albert A. (2006) Medicare Reform: Successes and Current Challenges of the new pat D. (Optional Prescription Drugs) Program. Entrepreneur. Fall 2006. Online available at: Accessed on 10 July 2006.
  • Prescription Drugs and Medicare (2007) Today's Research on Aging: Program and Policy Implications Issue 2, 2007 April. Online available at: Accessed 10 July 2009.

Cite this Analytical Essay:

APA Format

Prescription Drug Coverage Insurance Planning (2011, December 11) Retrieved December 04, 2022, from

MLA Format

"Prescription Drug Coverage Insurance Planning" 11 December 2011. Web. 04 December. 2022. <>