Figure 1. CMS Estimates of Eligibility and Participationin the Medicare Part D Low-Income Subsidy

Full/partial dual eligibles and SSI recipients automatically receiving low-income subsidies and enrolled in Part D plan

Dual eligibles = 6.88 million

(52%)

SSA-determined eligible receiving subsidy and enrolled in Part D plan = 2.3 million (17%)

Eligible for subsidy and estimated to have creditable coverage =0.72 million (4%)

3.3 million (25%)

Eligible but not receiving subsidy and not enrolled in Part D plan*

* Includes future anticipated facilitated enrollment of 0.03 million beneficiaries. Source: Centers for Medicare and Medicaid Services, “Medicare Drug Plans Strong and Growing,”press release (Washington, D.C.: CMS, Jan. 30, 2007).

Beneficiaries Eligible for Low-Income Subsidy = 13.2 Million

Figure 2. Doctors’ Assessment ofthe Part D Administrative Burden

Overall, would you say that helping patients make decisions about the newMedicare drug plans and helping them get their drugs under the plans has placed

a lot of burden on you and your staff, some burden, not too much, or no burden at all?

Source: Kaiser Family Foundation National Survey of Physicians (Menlo Park, Calif.: Henry J. Kaiser FamilyFoundation, Sept. 2006); N = 834.

A lot of burden27%

Some burden37%

Not toomuch burden

21%

No burden12%

Don't know/Refused3%

Figure 3. Long-Term Care Physicians’ Experience with Part D

44

43

64

52

55

70

May-06

Aug-06

Source: American Medical Directors Association Survey of Long-Term Care Physicians, conducted May 2006 (N = 441) and Aug. 2006 (N = 237).

Percent

Frequently or very frequently having trouble obtaining drugs

for patients becauseof drug plan requirementsfor drugs not on formulary

Frequent or very frequent problems with requests

for exceptions

Spending more than fourhours per week working

with plans and pharmaciesto obtain drugs for patients