Massive purchasing power, geographic outreach and defined buying methods often make public-aid recipients an attractive target market for pharmacies. Yet one must question how profitable such a target might be. This study shows that pharmacy profit levels for public-aid recipients below those earned in marketing to the private-pay patients may result in hidden benefits.
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Ethn Dis
April 2013
Department of Medicine, Section of Nephrology, 820 S. Wood Street M/C 793, Chicago, IL 60612, USA.
Objective: To examine ace-inhibitor (ACEI) and angiotensin receptor blockers (ARB) prescription and adherence patterns by race in diabetic public aid recipients.
Design, Participants, And Measures: We analyzed prescription records of 27,529 adults aged 18-64 with diabetes who had at least one clinical indication for receiving an ACEI/ ARB prescription and were enrolled in the State of Illinois public aid program during 2007. We calculated proportion of days covered (PDC) to assess adherence.
J Urban Health
February 2013
Department of Ambulatory and Preventive Medicine, Alameda County Medical Center, Oakland, CA, USA.
Prior research in the general population has found that social support can buffer the adverse effects of stressors on health. However, both stressors and social support may be qualitatively different for those living in urban poverty. We examined the effects of social support and poverty-specific stressors on self-rated health.
View Article and Find Full Text PDFSharp declines in welfare rolls since the passage of welfare reform legislation have led many to label it a social policy success. Using data from prereform and postreform samples of welfare applicants and recipients, as well as ethnographic data on welfare reform implementation, we examine three hypotheses based on concerns raised during the welfare reform debate about the possible effects of new policies on substance abusers and addicts: First, they would be "scared off," or discouraged from applying to aid by welfare's new requirements surrounding work and treatment. Second, they might be "weeded out," or face discrimination in the application process because of concerns about the difficulty of moving them successfully from welfare to work.
View Article and Find Full Text PDFJ Health Care Poor Underserved
February 2006
The passage of welfare reform in 1996 led to sweeping changes in both welfare and Medicaid policy. This study examines the pre-pregnancy Medicaid coverage of women on public aid who had Medicaid payment for delivery in the time periods before and after welfare reform. Pregnancy Risk Assessment Monitoring System (PRAMS) data were used to examine changes in the prevalence of being in the Medicaid Gap (i.
View Article and Find Full Text PDFMilbank Q
April 2005
University of Miami School of Medicine, Miami, FL 3316, USA.
The 1996 Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) changed the nature, purpose, and financing of public aid. Researchers, administrators, and policymakers expressed special concern about the act's impact on low-income mothers with substance use disorders. Before PRWORA's passage, however, little was known about the true prevalence of these disorders among welfare recipients or about the likely effectiveness of substance abuse treatment interventions for welfare recipients.
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