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As Medicare beneficiaries grapple with the new prescription drug benefit that went into effect on Jan. 1, physicians report that they are spending valuable clinical time explaining the benefit, rewriting prescriptions, and navigating drug company Web sites.
"It's taking up a disproportionate amount of our time," said Dr. Maurice Wright, medical director and staff internist of the So Others Might Eat Medical Clinic in Washington, a group that provides primary care services to needy patients, including Medicare beneficiaries.
Physicians weren't armed with the necessary information to properly advise patients about the new Medicare Part D benefit, Dr. Wright said.
And even after exploring the Medicare and drug plan Web sites, Dr. Wright said he still has unanswered questions about how to help his low-income Medicare patients apply for the "extra help" subsidy.
That low-income subsidy is especially important for his Medicare patients who do not qualify for Medicaid, he said. And without information about how to enroll, they can't choose a drug plan because they don't know how much it will cost, he said.
Dr. Wright has also noted problems among his patients who are dually eligible for Medicare and Medicaid. These patients were automatically enrolled in a Part D drug plan before the beginning of the year.
But some technical glitches in transmitting that enrollment information from Medicare to the drug plans means that for some patients there is either no record of their enrollment when they show up at the pharmacy or they are asked to pay higher prices.
Source: HighBeam Research, Patients, physicians struggle with Part D rollout.(Practice Trends)