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Month: May 2019

Assessment of Medi-Cal Pharmacy Benefits Policy Options

Policymakers are considering moving Medi-Cal to a pharmacy “carve-out” – that is, shifting the pharmacy benefit out of managed care to instead be administered by the state in fee-for-service (FFS). The carve-out proposal is motivated, in part, by the potential…

May. 15, 2019 Download Full Report

KEYWORDS:Pharmacy Carve Out, Policy

Assessment of Pennsylvania’s Medicaid Preferred Drug List Policy Options

The Pennsylvania Coalition of Medical Assistance MCOs engaged The Menges Group to estimate the fiscal impacts of switching to a uniform PDL in Pennsylvania and to assess the programmatic advantages and disadvantages of this policy change. Our analyses indicate that…

May. 7, 2019 Download Full Report

KEYWORDS:Policy, Prescription Drugs

Piloting Medicare Mandatory Enrollment Into Coordinated Care

The May edition outlines a pilot program we encourage Medicare policymakers to adopt. It involves testing Medicaid’s key design features in the Medicare arena, which if successful could evolve into a fundamental transformation of Medicare as has occurred with Medicaid…

May. 1, 2019 Download 5 slide

KEYWORDS:Enrollment, Medicare, Policy