For
More Information, Contact:WASHINGTON, D.C. (January
30, 2004) – An assessment of health care
in the 50 states, released here today, finds that Florida is a leader in
controlling prescription drug costs. The report touts Florida’s
multi-dimensional efforts to keep expenses down. It appears in the February
2004 issue of Governing magazine.
“No one has discovered a
silver bullet to staunch the wildly escalating costs of prescription drugs,”
says Richard Greene, co-author of the report. “But Florida has tried a variety
of approaches, and seems to have moved more quickly with more programs than any
other state. It hasn’t been an easy road, of course--and the state has
confronted lawsuits by pharmaceutical manufacturers along the way. But there’s
no question that many other states have been watching Florida to learn from its
efforts.”
Among the various
approaches that the Sunshine State has used to come up with some $500 million
in savings are a preferred-drug list, data management, use of counterfeit-proof
prescription pads, restricting some beneficiaries to just one pharmacy and
deals with manufacturers to finance value-added programs for the state.
According to the report,
“Pfizer, for example, cut a deal with Florida to put some of its drugs on the
[preferred-drug] list in exchange for providing disease-management services for
Medicaid patients with congestive heart failure, diabetes, asthma and
hypertension. The state expects to save $33 million over the next couple of
years from this arrangement.”
The report’s comments
about Florida are not all positive, however. The authors take the state to task
for freezing enrollment in the Children’s Health Insurance Program. As the
authors write, “This avoids hard decisions as to who should be included by
simply closing the door on new applicants.”
Governing’s analysis of state-funded health care is part of the
Government Performance Project, a six-year-old effort, funded by the Pew
Charitable Trusts, to evaluate a wide range of state government management and
policy functions. This year’s special report focuses on six critical health
care problems facing states: long-term care, public health, mental health,
prescription drugs, access to care for the uninsured, and care for children.
The Government Performance
Project found and documented the inability of the 50 states’ health care system
to deliver improvements in medicine fairly and consistently to many of their
citizens. Health care in most states is not just inadequate, the study
concluded--it’s deteriorating. “After exhaustive analysis and hundreds of
interviews,” says Peter Harkness, Governing’s publisher and editor, “it
became clear that there is a health care crisis in America. But it is in no way
a medical crisis. It is a fiscal
crisis.”
Governing is a policy and management magazine aimed at
high-level state and local government officials. An online version of this
report will be available at http://www.governing.com/gpp/2004/intro.htm
as of January 29. Press releases for
each of the 50 states can be found at http://www.governing.com/gpp/2004/press.htm.
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