The new Medicare Part D will improve access to medications formillions of Americans. One subgroup of beneficiaries, however,may inadvertently be made worse off: the 7.2 million peopleenrolled in both Medicaid (because they are poor) and Medicare(because they are elderly or disabled). These beneficiaries,known as the dually eligible, already receive drug benefitsthrough state-run Medicaid programs; but as of 2006, they willbe required to enroll in Medicare Part D.
Moving the dually eligible recipients of drug benefits to newfederal programs raises several concerns: these beneficiariesmay have problems making the transition and negotiating the. . . [Full Text of this Article]
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Dr. Elliott is a clinical senior lecturer at the University of Manchester, Manchester, United Kingdom, and a Commonwealth Fund Harkness Fellow from 2004 to 2005; Dr. Majumdar is an associate professor of medicine at the University of Alberta, Edmonton, Alta., Canada; and Dr. Gillick is an associate professor, and Dr. Soumerai a professor, of ambulatory care and prevention at Harvard Medical School and Harvard Pilgrim Health Care, Boston.
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