Affordable Care Act and Part D

1622 Words Jan 7th, 2013 7 Pages
Affordable Care Act and Part D
Kelly Ayers
HCS/531
Monday 2 July 2012
Dr. Russell Arenz

As the population ages, people want the security of knowing that they have health care coverage. At age 65, people have the opportunity to be covered by Medicare. Medicare has four parts to it; part A which is the hospital insurance, part B which is the medical insurance, part C is Medicare Advantage plan which offers extra coverage such as vision, hearing, dental and/or wellness programs, and part D is prescription drug coverage. The Patient Protection and Affordable Care Act survived a vote of the Supreme Court justices and changes will be implemented within the next few years. As people age and the number of people entering the golden
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25). Increasing the availability of generics will yield significant savings. The donut hole will not completely close but a 25% gap is left for the enrollee. To be able to get to this 25% gap, closing percentages of the gap will be phased in over a ten year period. “For generic drugs, costs decrease by only 7% in 2011, and the enrollee continues to pay the majority of the applicable costs until the year 2018” (Kaplan, 2011, p. 25). Until the end of the phase in period, generic drugs will cost more than brand names. Reason being, the government wants both generic and brand names reduced until both equal 25%. “The enrollee’s percentage obligation for brand name drugs is lower than the comparable percentage for generic drugs until they both reach the 25% level in 2020” (Kaplan, 2011, p. 25). However, changing perceptions of prescribers and consumers will be necessary to launch the initiative. The education of providers regarding the therapeutic equivalent and efficacy of generic medications are therapeutic substitutes is very important—prescribers will be the driving force behind adoption of generics over brand-name drugs. The use of e-prescribing provides information regarding cost, formularies and available generics at the fingertips of providers (United States Department of Health and Human Services, 2010). Physicians

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