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Pharmacy claims for the managed Medicare population also present certain limitations.
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This follows lost contracts in New Jersey state Blue Cross plan and Ohio's managed Medicare business.
Medicare Advantage is a managed Medicare health insurance plan offered by private insurers [ 30].
Participants were censored at death or enrollment into managed Medicare.
Prior to 2006, managed Medicare enrollees had pharmacy covered through their health plan, one of the benefits of enrollment in certain managed Medicare plans.
Participants in managed Medicare care plans were excluded because these plans do not have the same data-reporting requirements as fee-for-service Medicare plans [ 29].
Participants were censored at the time of two competing risks – death or enrollment into managed Medicare – whichever came first.
Further, this analysis did not include patients on Medicaid and it contained < 8% of patients with managed Medicare.
Companies managing Medicare benefits would face similar pressures from drugstores.
Insurers already manage Medicare's prescription drug benefit, and Republicans see that as a model.
Managing Medicare Others are not as convinced.
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