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How Medicaid and CHIP shield children from the rising costs of prescription drugs
How Medicaid and CHIP shield children from the rising costs of prescription drugs
KEY FINDINGS. (1) Nearly a quarter of U.S. children use at least one prescription drug a month, most commonly treating such conditions as asthma, attention deficit hyperactivity disorder, and infections. Medicaid guarantees that most enrolled children who need drugs receive them without any financial barriers. (2) Drug costs are projected to rise faster than overall health costs, which themselves are projected to continue rising faster than general inflation. Although Medicaid children are generally protected, cost increases place fiscal pressure on the state and federal governments that pay for the drugs. (3) Preferred drug lists and prior authorization can help states secure price discounts, but an effective process for exceptions and appeals is necessary to ensure access. (4) Price discounts achieved through Medicaid's drug rebate program have saved states and the federal government billions of dollars in purchasing prescription drugs, but that program does not address all sources of high drug prices. The Medicaid rebate program should be extended to the Children's Health Insurance Program.
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