Using a dynamic microsimulation, Chapel and coauthors explore factors like mortality, health
expenditures, and quality-life adjusted years of five cohorts of near-retiree Americans between 1994 and 2018.
They conclude that while annual resources increased for the upper-middle economic status group between 1994 and 2018, annual resources decreased for the lower-middle group.
They also find that quality-adjusted life expectancy increased for the upper-middle economic status group, but remained stagnant for the lower-middle group. These findings, among others, suggest that seniors in the middle economic status group will need additional resources and support.
A Shifting PBM Landscape? Health Affairs' Leslie Erdelack and Kathleen Haddad discuss the shifting pharmacy benefit manager (PBM) landscape in the wake of Blue Shield of California's decision to shift some of its pharmacy business to new companies.
Health Affairs is the leading peer-reviewedjournalat the intersection of health, health care, and policy. Published monthly by Project HOPE, the journal is available in print and online. Late-breaking
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