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Restricting Access to Medicaid Populations
Dear Reader,
The American Journal of Managed Care
In 2004, published more theme and special issues than ever before. That trend will likely continue in 2005, and you're holding the first evidence of this development.
The formulation and adoption of preferred drug lists (PDLs) by state and federal agencies is a fairly recent development. These PDLs have arisen both as a means to control costs and as response to changes in the Medicare drug law. Given the continuing evolution of these programs, and the further changes to the Medicare drug program set to take effect in 2006, it is important to examine these programs and their consequences in detail. That task is made difficult, however, due to the paucity of research available in this area. This collection of papers may begin to remedy that problem.
These 5 papers and the introduction to them should help sketch the landscape of drug access restrictions at the beginning of 2005, and will also hopefully lay out the areas where additional research is needed. As ever, we welcome your feedback on this special issue, and look forward to publishing additional theme and special issues as the year continues.
The Editors
Funding for this Special Issue was provided by Pfizer Inc, New York, NY.
How English- and Spanish-Preferring Patients With Cancer Decide on Emergency Care
November 13th 2024Care delivery innovations to help patients with cancer avoid emergency department visits are underused. The authors interviewed English- and Spanish-preferring patients at 2 diverse health systems to understand why.
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Geographic Variations and Facility Determinants of Acute Care Utilization and Spending for ACSCs
November 12th 2024Emergency department (ED) visits and hospitalizations for ambulatory care–sensitive conditions (ACSCs) among Medicaid patients constitute almost 40% of all ED visits and hospitalizations, with lower rates observed in areas with greater proximity to urgent care facilities and density of rural health clinics.
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Pervasiveness and Clinical Staff Perceptions of HPV Vaccination Feedback
November 11th 2024This article used regression analyses to quantify how clinical staff perceive provider feedback to improve human papillomavirus (HPV) vaccination rates and determine the prevalence of such feedback.
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