United States Government Publishing Office publisher pbl distributor dst United States Government Accountability Office Accounting and Information Management Division author aut Government Organization text government publication eng GAOREPORTS Legislative Agency Publications gao legislative 2010-08-12 U.S. Government Printing Office 1996-06-11 monographic deposited born digital 35 p. GA 1.13:AIMD-96-72 https://www.govinfo.gov/app/details/GAOREPORTS-AIMD-96-72 P0b002ee18037f3b7 f:ai96072 DGPO 2010-08-12 2011-03-28 GAOREPORTS-AIMD-96-72 machine generated eng fdlp REPORT GAOREPORTS-AIMD-96-72 AIMD-96-72 Drugs Health care cost control Health care programs Medical information systems Patient care services Therapy Medicaid Program Medicaid Management Information System Maryland Missouri New Mexico Oregon Pennsylvania Letter Report AIMD Inappropriate use of prescription drugs can lead to drug-induced illness, hospitalization, and even death. Inappropriate drug use can also prove expensive for the Medicaid program. As a result, Congress mandated that states establish utilization review programs--called prospective reviews--to review Medicaid prescriptions before drugs are dispensed. Automated prospective drug utilization review systems are proving a low-cost way for states to help both doctors and pharmacies safeguard Medicaid recipients from potentially harmful medical reactions. Although the main emphasis of these systems--appropriately--has been safety, both safety benefits and dollar savings accrue from their use. Because results vary on the basis of how such systems are administered, it is important that states share their experiences. Absent any analysis of data from the Iowa demonstration project or any concerted effort by the Health Care Financing Administration to collect and share other states' experiences, states have had only limited access to both safety and cost data--information that is critical to informed decisionmaking and to maximizing the effectiveness and efficiency of automated prospective drug utilization review systems. https://www.govinfo.gov/content/pkg/GAOREPORTS-AIMD-96-72/html/GAOREPORTS-AIMD-96-72.htm https://www.govinfo.gov/content/pkg/GAOREPORTS-AIMD-96-72/pdf/GAOREPORTS-AIMD-96-72.pdf GAO/AIMD-96-72 https://www.govinfo.gov/app/details/GAOREPORTS-AIMD-96-72 Letter Report GAO/AIMD-96-72; Prescription Drugs and Medicaid: Automated Review Systems Can Help Promote Safety, Save Money; Drugs Health care cost control Health care programs Medical information systems Patient care services Therapy Medicaid Program Medicaid Management Information System Maryland Missouri New Mexico Oregon Pennsylvania Public Law 91-513 Public Law 101-508 Title 42 Part 456.705 42 CFR Part 456.705 Title 42 Part 456.702 42 CFR Part 456.702