From Dunkin Donuts To Krispy Kreme Making a
- Slides: 18
From Dunkin Donuts…. To Krispy Kreme: Making a Bigger, Better Donut Hole Group IV
National Mental Health Association, May 2005
Problem Statement • Structure of cost sharing under Part D negatively impacts quality • Dimensions of the problem – Vulnerable beneficiaries most affected – Patients less likely to fill prescriptions – Providers may not provide access to most effective drugs – Alternatively presents a moral hazard
Rationale • Experience with Part D – 25% of beneficiaries will experience higher costs – 6. 9 million projected to reach coverage gap – 3. 1 million will reach catastrophic coverage – Near-poor (LIS-eligible) less likely to enroll – Duals confront copays for first time – Premiums lower and coverage better than projected
Rationale • Impact on Quality – Cost-related Adherence • Uninsured 2. 5 times more likely not to fill prescription • 16. 4% of Medicare recipients did not fill scripts • 15. 2% of insured did not fill scripts
Rationale • Impact on Quality – Prescribing practices • Shoot-the-Moon • Under-prescribing
Stakeholders (1) • Who will support this plan? – Seniors – Disease-specific interest groups • Who will oppose it? – Seniors with other credible coverage – Seniors without targeted chronic diseases – Other disease-specific interest groups – Working population paying Medicare tax
Stakeholders (2) • Other Supporting Stakeholders – Health care providers – AARP – Ph. RMA – Pharmaceutical companies – Capitated health care systems – Fiscal conservatives
Stakeholders (2) • Other Opposing Stakeholders – Some specialty health care providers – Some pharmaceutical companies – Fee-for-service health systems – Pharmacies
Plan of Action • Minimizing complications resulting from problematic access to drugs • Preserving cost; Improving quality
Plan of Action High complication chronic diseases • Highest evidence standards • Long-term cost savings for Medicare • Documented evidence of (examples): – Diabetes – Hypertension – Congestive Heart Failure • Establish independent advisory group
Plan of Action CDZ Drugs Other Drugs Deductible No ? Copays No ? Coverage Gap No Yes; Increased
Plan of Action Expand the Donut Hole Now Proposed $2, 250 $1, 750 $5, 100
Plan of Action High complication chronic diseases • Highest evidence standards • Long-term cost savings for Medicare • Documented evidence of (examples): – Diabetes – Hypertension – Congestive Heart Failure • Establish independent advisory group
Plan of Action • Financing Campaign – Disease-specific interest groups – Ph. ARMA – Capitated health systems • Budget Impact – Initial administrative component – Cost-neutral over 5 years – Cost-saving over 10 years to Medicare
- Krispy kreme vs dunkin donuts
- Pros and cons of dunkin donuts franchise
- Click the coin scratch
- Brittney jones starbucks
- The wild robot lexile
- Ruth dunkin
- Dunkin and biddle model
- Ruth dunkin
- Ucsc citl
- Donuts animated
- Cancion anuncio donuts
- Driving me donuts
- War making and state making as organized crime summary
- Making inferences
- Components of decision making
- Etiquette of making dua
- Decision making game
- Cake making methods
- When making a routine request, you should