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Medical Care Research and Review
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Who Thinks That Part D Is Too Complicated?

Survey Results on the Medicare Prescription Drug Benefit

Janet R. Cummings

University of California, Los Angeles

Thomas Rice

University of California, Los Angeles, trice{at}conet.ucla.edu

Yaniv Hanoch

University of Plymouth

Evidence suggests that Medicare Part D plan ownership is "sticky"; beneficiaries are unlikely to change plans from year to year, even when it would be in their financial interest to do so. The complexity of the program may contribute to this problem. Using data from a national survey, the authors examine the characteristics of those who believe that Part D is too complicated as well as the characteristics of those who endorse one of two policies to simplify the program. The results indicate that a great majority of adults believe that the program is too complicated and most favor some form of simplification. In multivariate analyses, one of the most consistent predictors is political orientation. Republicans are significantly less likely to think that Part D is too complicated, and liberals and moderates are significantly more likely to favor allowing beneficiaries the option of purchasing a plan directly from the government.

Key Words: Medicare • Part D • prescription drugs • complexity • policy reform

This version was published on February 1, 2009

Medical Care Research and Review, Vol. 66, No. 1, 97-115 (2009)
DOI: 10.1177/1077558708324340


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