Implementation of a Medicare Plan Selection Assistance Program Through a Community Partnership

Insurance Adjudication Simulation Across Multiple Institutions and Levels of Learners

“…7 To date, the majority of the literature focuses around services for Medicare Part D plan selection and benefits but overlooks the imperative process of adjudicating prescription third-party payer claims. [8][9][10] Adjudication of insurance claims taught in a traditional didactic classroom will likely only reach the lowest level of Bloom's taxonomy (remember and understand). 11 For students to be prepared for community introductory and advanced pharmacy practice experiences (IPPEs and APPEs), educational content should be focused on the higher level of learning with Bloom's levels at or above the Bloom's level of application.…”

A Pilot Program to Teach Pharmacy Students Practical Skills to Navigate Drug Insurance Benefits

“…Such curricula generally lack a practicum component to teach students hands-on, practical skills needed to navigate drug insurance plans and formularies [16]. There are some curricula that train students to help patients enroll in drug insurance plans, such as Medicare (United States government-funded health and drug insurance programs for those who are 65 years and older, have disabilities or with End-Stage Renal Disease), and provides some information about tiering system and Medicare program structure [17,18]. There are no examples in the literature of an experience-based activity that trains pharmacy students to navigate multiple drug benefits and determine formulary coverage, or cost-sharing for patients and measured their ability to complete these activities after graduation.…”