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Pharmaceutical Benefits Under State Medical Assistance Programs, 2005

This report, part of the Pharmaceutical Benefits Under State Medical Assistance Programs series, is a compilation of data under state medical assistance programs (Title XIX) or state public medical assistance programs (prior Titles of the Social Security Act). It presents a general overview of the characteristics of state programs together with more detailed information on the pharmaceutical benefits provided. The data collection effort covers all states with Medicaid programs.

The information in this book is summarized in the following sections:

  • Section 1: Introduction.
  • Section 2: Overview of the Medicaid program, details about Medicaid managed care enrollment, including a breakdown by plan type and enrollment by plan type and a synopsis of 1915(b) waivers and 1115 demonstrations.
  • Section 3: Socio-demographic statistics and a description of the Medicaid certified facilities in each state.
  • Section 4: Medicaid pharmacy program characteristics, drawn largely from the NPC annual survey of state program administrators.
  • Section 5: Detailed profile of the states’ Medicaid pharmacy program (including medical assistance benefits and eligibles, drug payments and recipients, benefit design, pharmacy payment and patient cost sharing, use of managed care and state contacts.
  • Section 6: Profiles of State pharmaceutical assistance programs.
Newsletter Volume

E.V.I.dently July 2014

NPC MessageWhen & How Health Decision-Makers Should Consider Individual Patient DifferencesBy Jennifer S. Graff, PharmD, NPC Director of...
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Engaging Consumers in Today's Changing Health Care Payment and Delivery Environment

The current health care delivery system is evolving from a fee-for-service system to one that is performance-based. How does this shift impact...
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Shifting the Focus From "How Much" to "How Well" We Spend Our Health Care Dollars

A. Mark Fendrick, MD, director of the Center for Value-Based Insurance design at the University of Michigan, highlights the key findings from a...
Blog Post

#TBT: Medicaid Expansion & Historical Data

As part of our “Throwback Thursday” blog series, we’re taking a look at a topic that’s currently in the news and tagging it with previous...
Press Release

Study Quantifies Impact of Pharmaceuticals on Enhanced Productivity

(WASHINGTON, DC, August 1, 2012)–The costs to employers of chronic health conditions on employee productivity are well documented, but few studies...
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Pharmaceuticals Play Key Role in Achieving ACO Quality, Cost Goals

WASHINGTON, DC, July 18, 2012–As health care providers set up accountable care organizations (ACOs) and other value-based care programs,...
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NPC Conference to Address Questions on Ability to Share Health Research Findings Health

(Washington, DC, February 6, 2012)--To examine key issues around asymmetries, or inequalities, in communicating health information coming from the...
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National Pharmaceutical Council Selects Five Research Projects for Funding

Washington, DC (January 30, 2012) – The National Pharmaceutical Council (NPC) today announced that it has selected five projects related to...
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Living Up to Its Name? The Role of Patient-Centered Research

Anyone who has ever received bad news from his or her health care provider or held a loved one’s hand when a diagnosis was delivered can understand...
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High Stakes for Setting Research Standards

What is the cost of poorly designed research? In the comparative effectiveness arena, faulty studies could mean that consumers may make important...
Commentary and Testimony Page

Asymmetry in the Ability to Communicate CER Findings: Ethics and Issues for Informed Decision Making

The number of voices in the comparative effectiveness research (CER) conversation is continuing to grow, but not all stakeholders have the same...
Commentary and Testimony Page

CER Done Right: Why It Matters

The health care reform law is aimed at reshaping the health care landscape through the creation of many new regulations and regulatory...
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Engaging Consumers in Today's Changing Health Care Payment and Delivery Environment

The current health care delivery system is evolving from a fee-for-service system to one that is performance-based. How does this shift impact...
YouTube Videos

Shifting the Focus From "How Much" to "How Well" We Spend Our Health Care Dollars

A. Mark Fendrick, MD, director of the Center for Value-Based Insurance design at the University of Michigan, highlights the key findings from a...
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Rapid-Learning Health Care Systems, Explained

Dr. Lucy Savitz, director of research and education, Institute for Healthcare Delivery Research, Intermountain Healthcare, explains rapid learning...
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PCORI Outlines Efforts to Engage Patients

Dr. Rachael Fleurence, Scientist,Patient-Centered Outcomes Research Institute, outlines the many ways heragency is engaging patients and other...
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#TBT: Medicaid Expansion & Historical Data

As part of our “Throwback Thursday” blog series, we’re taking a look at a topic that’s currently in the news and tagging it with previous...
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Catch These Upcoming Events and Publications

September was a particularly busy month, featuring a variety of health care conferences, meetings, publications, and ongoing debates about the...
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Medication Adherence: Americans Earn Poor Marks in Recent Report

We know that optimizing the use of medicine plays an important role in lowering costs and improving health outcomes. So how are our nation’s patients...
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CER Tweets of the Week (June 17-21, 2013)

The Patient-Centered Outcomes Research Institute (PCORI) built buzz on Twitter by launching the PCORI Engagement Awards program, which will grant...

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The Myth of Average: Why Individual Patient Differences Matter

Within today’s health care environment, so much of t

2013 Comparative Effectiveness Research and the Environment for Health Care Decision-Making

NPC's 2013 survey shows that health care stakeholders have growing expectations for the use of...
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Commentary & Testimony