Waldo D R
Health Care Financ Rev. 1987 Fall;9(1):83-9.
Legislation proposed in the 100th Congress and debated during the summer of 1987 would cover prescription drug spending by Medicare enrollees after the enrollee had met a deductible. However, at the time that the legislation was proposed, there were no comprehensive estimates of the extent of current expenditures for prescription drugs by that population, nor of the expected cost of the proposed coverage. In this article, the author estimates "current-law" drug spending by Medicare enrollees. A distribution around the average expenditure is developed, demonstrating the proportion of users that exceed any given annual expenditure and the proportion of total expenditures comprised by spending in excess of that "deductible."
第100届国会提出并于1987年夏季进行辩论的立法,将涵盖医疗保险参保人在达到免赔额后的处方药支出。然而,在该立法提出之时,对于该人群当前处方药支出的范围,以及拟议保险范围的预期成本,均没有全面的估计。在本文中,作者估算了医疗保险参保人的“现行法律下”的药品支出。围绕平均支出形成了一种分布情况,展示了超过任何给定年度支出的用户比例,以及超过该“免赔额”的支出在总支出中所占的比例。