Carroll CA, Carroll C, Hicks LL; Academy for Health Services Research and Health Policy. Meeting.

Abstr Acad Health Serv Res Health Policy Meet. 2002; 19: 4.

University of Missouri-Kansas City, 211 Haag Hall 5100 Rockhill Road, Kansas City, MO 64110; Tel: (816) 235-5734; Fax: (816) 235-2834; E-mail: carrollc@umkc.edu

RESEARCH OBJECTIVE: To estimate the demand and expected expenditures for a state run senior prescription benefit program for low-income seniors in the state of Missouri. STUDY DESIGN: Annual projections of demand and expected expenditures over a five year period were estimated using decision analytical techniques with national data. POPULATION STUDIED: Low income elderly adults. Two income levels were considered. Tier One represented single individuals with incomes less than $12,000 or household incomes of less than $17,000. Tier Two considered the same population with individual incomes less than $17,000 and household incomes less than $23,000. PRINCIPAL FINDINGS: Estimates of eligibility for the two income levels were developed. A total of 180,000 individuals were estimated to be eligible for the plan in the Tier One group. This estimate included individuals with either no prior year prescription coverage or partial year prescription coverage. 220,000 adults were estimated to be eligible for Tier Two income levels. Annual per patient expenditures, in 2003 dollars, would range from $1119 for adults with excellent health to $3634 for patients in poor health. Estimates of expected gross state expenditures for an enrollment of 44,500 individuals would range from $37 million in year one to $52 million in year five. Expenditures net rebate, coinsurance, and deductibles for the same population was expected to be $26 million in year one and $39 million in year five. An enrollment of 80,000 was estimated to result in gross expenditures of $99 million in year one and $186 million by year five. Estimated net expenditures over the same time period were estimated to be $72 million and $152 million respectively. CONCLUSIONS: This analysis demonstrates that national data can be used to develop estimates of expected demand for state run senior prescription benefit programs. Special consideration must be given to the health status of the state's population relative to national norms. IMPLICATIONS FOR POLICY, DELIVERY OR PRACTICE: Results of such economic impact analysis would be very useful to state legislators considering bills covering prescription drug coverage for elderly residents, especially in these times of decreasing resources availability and increasing accountability

Publication Types:

• Meeting Abstracts

Keywords:

• Adult
• Aged
• Deductibles and Coinsurance
• Eligibility Determination
• Health Expenditures
• Health Status
• Humans
• Income
• Missouri
• Poverty
• Prescriptions, Drug
• economics
• hsrmtgs

Other ID:

• GWHSR0002199

UI: 102273875

From Meeting Abstracts