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Sierra Health Services Drops Coverage For Brand-Name Medications In Medicare Prescription Drug Benefit 'Doughnut Hole'
The Dallas Morning News on Sunday examined Sierra Health Services' recent announcement that next year it will terminate a Medicare prescription drug plan that covers the cost of brand-name drugs during the benefit's "doughnut hole" coverage gap (Moos, Dallas Morning News, 4/8). Las Vegas-based Sierra in 2007 introduced a plan offering comprehensive coverage of brand-name medications for beneficiaries during the coverage gap in exchange for high monthly premiums. However, the plan lost $3 million in the first month of operation. Sierra in February announced that it no longer would cover brand-name drugs in the doughnut hole (Kaiser Daily Health Policy Report, 4/2). The insurer said it is losing $100 per month for each beneficiary in the plan. According to the Morning News, "the same fate befell Humana" in 2006 when the insurer canceled a plan covering brand-name drugs during the doughnut hole after reporting significant losses. As a result of the cancellation of both plans, "seniors who depend on costly medications to treat chronic or serious illnesses are left to wonder ... where to turn for comprehensive drug coverage next year," the Morning News reports. Deane Beebe, director of public affairs for the Medicare Rights Center, said, "There's no stability here. A lot of people were counting on Humana, and then on Sierra, to protect them through the gap. Now what are they to do?" Peter O'Neill, vice president of public and investor relations for Sierra, said the company underestimated how much seniors would use the coverage. O'Neill said, "Two companies have tried to serve this niche of the market, and neither of us has gotten it right," adding, "Given our experience, I question whether other companies will try" (Dallas Morning News, 4/8).
"Reprinted with permission from http://www.kaisernetwork.org. You can view the entire Kaiser Daily Health Policy Report, search the archives, or sign up for email delivery at http://www.kaisernetwork.org/dailyreports/healthpolicy. The Kaiser Daily Health Policy Report is published for kaisernetwork.org, a free service of The Henry J. Kaiser Family Foundation . © 2005 Advisory Board Company and Kaiser Family Foundation. All rights reserved.
Sierra de servicii de sãnãtate de picãturi de acoperire pentru brand-nume de medicamente în Medicare beneficia de prescripþie de droguri "gogoaºã gaura" - Sierra Health Services Drops Coverage For Brand-Name Medications In Medicare Prescription Drug Benefit 'Doughnut Hole' - articole medicale engleza - startsanatate
