Guadamuz Jenny S, Alexander G Caleb, Kanter Genevieve P, Qato Dima Mazen
Jenny S. Guadamuz (
G. Caleb Alexander, Johns Hopkins University, Baltimore, Maryland.
Health Aff (Millwood). 2025 May;44(5):539-545. doi: 10.1377/hlthaff.2024.01452.
Medicare Part D plans incentivize the use of specific pharmacies through preferred networks. We found that independent pharmacies and pharmacies in low-income, Black, and Latinx neighborhoods were less likely to be preferred by most Part D plans than chains and pharmacies in other neighborhoods. Pharmacies that were not preferred by most plans were 70-350 percent more likely to close than other pharmacies.
医疗保险D部分计划通过优先网络激励人们使用特定药房。我们发现,与连锁药房和其他社区的药房相比,独立药房以及低收入、黑人及拉丁裔社区的药房被大多数D部分计划列为优先选择的可能性较小。未被大多数计划列为优先选择的药房关闭的可能性比其他药房高70%至350%。