Exploring the Valley of Savings: Minimizing Part D Costs and Optimizing Drug Therapy Outcomes in Medicare Beneficiaries With Developmental Disability

Nonelderly disabled Medicare beneficiaries have a higher prevalence of chronic conditions, higher utilization of prescription medications, and increased demand for clinical services when compared to beneficiaries 65 years of age and older who are not disabled. Out-of-pocket costs and medication-related problems are major barriers to medication compliance and achievement of therapeutic goals. A school of pharmacy partnered with a nonprofit organization that provides care to individuals with developmental disabilities. The present study highlights outcomes resulting from (a) providing Medicare Part D plan optimization services to lower prescription drug costs and (b) Medication Therapy Management services to evaluate safe and effective medication use in this beneficiary population. Provided interventions were shown to reduce overall medication costs and identify significant medication-related problems.

Fringe visibility of multimode laser light scattered through turbid water

Several years ago Swanson [Proc. SPIE 1750, 397 (1992)] performed a simple Michelson interferometric determination of the coherence length of a multimode argon-ion laser after the light passed through a tank of water. As colloidal particles were added to the water the observed coherence length (as measured by twice the distance the mirror moved for fringes to disappear) decreased. Subsequently, a series of careful experiments were performed with a single-mode laser to more accurately measure this change. In these experiments it was found that the 1.5-MHz width of the 514.5-nm line of a single-mode argon-ion laser broadened by as much as 1.3 +/- 0.2 MHz when small colloidal particles were added. At first glance such a broadening should not have resulted in any discernible change in the original Michelson experiment because the gain curve for the multimode laser is of the order of a few gigahertz. The zeros in the fringe visibility function depend on the spectral characteristics of the modes. Upon scattering, the spectral characteristics of the individual laser modes change from Voigt functions, containing both Lorentzian and Gaussian components, to primarily Gaussian. It is this change in the statistical properties of the modes, not the broadening, that accounts for the change in the fringe visibility for a multimode source.