The average home care patient is on 15 medications. Trying to close a state govenment budget shorfall, PA medicaid program has decided to pay for only 6 prescriptions/month. Our Medicaid HMO that covers 40% our patients sent us a letter they are following state program "unless medication will cause significant harm--doctor just needs to send this form for us to consider payment...especially if finacially feasible to pay for meds".
My crystal ball predicts many hospitalizations after patients unable to get meds refilled at pharmacy resulting in higher costs from hospital bill. Penny wise, pound foolish.