Assessment of Adequacy of Reimbursement Rates to Pharmacies and Its Impact on theAccess to Medication and Pharmacy Services by Medicaid Recipients

摘要

The Omnibus Budget Reconciliation Act of 1990 mandated that a study be conductedthat determines the adequacy of reimbursement rates to pharmacists under each State's Medicaid program and the extent to which reimbursement rates under Medicaid have an effect on beneficiary access to medications. The report, addresses research questions in two major areas, adequacy and access. The difference between payment and cost measures forms the base for the adequacy measure. The major question regarding adequacy is whether State payments are adequate in relation to the costs of dispensing drugs. The major question regarding access is whether there is a relationship betwen the adequacy of State payment and access. The report concluded that in general payment to pharmacies providing service to Medicaid appears adequate to insure access.