medical copayments; out-of-pocket cost

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Management

  • relatively small increases in outpatient co-payments might deter some elderly from seeking timely medical attention; the result could be poorer health & higher costs with higher annual hospital admissions & more annual inpatient days[1]
  • out-of-pocket cost is a major factor in compliance with precribed medications[2]
    • for example, patients with a $100 copay were 84% less likely to fill their prescription than someone with no copay[2]
    • high out-of-pocket prescription costs for cancer chemotherapy may cause many patients to abandon treatment[3]

References

  1. 1.0 1.1 Trivedi AN et al Increased ambulatory care copayments and hospitalizations among the elderly. N Engl J Med 2010 Jan 28; 362:320. PMID: https://www.ncbi.nlm.nih.gov/pubmed/20107218
  2. 2.0 2.1 2.2 Navar AM, Taylor B, Mulder H et al Association of Prior Authorization and Out-of-pocket Costs With Patient Access to PCSK9 Inhibitor Therapy. JAMA Cardiol. Published online September 27, 2017. <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/28973087 <Internet> http://jamanetwork.com/journals/jamacardiology/article-abstract/2654960
  3. 3.0 3.1 Nelson R Cancer Patients Forgo Therapy Because of High OOP Costs. Medscape - Dec 22, 2017. https://www.medscape.com/viewarticle/890472
    Doshi JA, Li P, Huo H, Pettit AR, Armstrong KA. Association of Patient Out-of-Pocket Costs With Prescription Abandonment and Delay in Fills of Novel Oral Anticancer Agents. J Clin Oncol. 2017 Dec 20:JCO2017745091 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/29261440 <Internet> http://ascopubs.org/doi/abs/10.1200/JCO.2017.74.5091