ere's a link to the article.
The article notes: "The changes include shifting the elderly from nursing homes to less-costly home health care, cracking down on fraud, refining the management of high-cost patients (such as those with AIDS or hemophilia) and cutting some payments to hospitals and doctors. " Unstated is the fact that such changes rely upon increased drug utilization via disease management programs. At the same time, the question has to be raised as to whether states are simply cutting costs by simply denying care in isolated instances. But then again, the Part D experience has moved control of the drug benefit into the hands of consumers and advocates, albeit with some initial bumps and disruptions which CMS and a motivated crew of stakeholders has promised to rectify this enrollment period. All the more reason to shift resources from providers to consumers...
If so, and I promise to follow up on this premise, it is yet another reason why restricting seniors choice of drugs to fill the dough nut hole for rich seniors makes no sense at all. And why the Part D experiment should be expanded to include Medicaid as a common sense coalition of Ds and Rs are proposing in Congress. The link to this article can be found here.