Literature DB >> 18469622

The effects of health plan copayments on adherence to oral diabetes medication and health resource utilization.

Alberto M Colombi1, Kristina Yu-Isenberg, Julie Priest.   

Abstract

OBJECTIVE: To assess the effects of copayments on oral diabetes medication adherence, health resource utilization, and expenditure.
METHODS: Retrospective, observational analysis of medical and pharmacy claims data from PPG Industries employees, retirees, and dependents (2003-2005). Average monthly copayments were stratified low (US$0-9), medium (US$10-19), or high (US$20+).
RESULTS: In 2052 individuals, adherence to oral diabetes medication was highest for the low copayment group for both age groups >or=65 years; 84% low, 77% medium, 64% high (P < 0.0001) and <65 years; 74% low, 71% medium, 55% high (P < 0.0001). For patients <65 years, total health care expenditure was 22% lower in the low versus high copayment group (P = 0.024), resulting in average savings of US $3116 per patient per year. Risk of hospitalization was significantly lower in the low versus the high copayment group for patients >or=65 years of age.
CONCLUSIONS: High copayments were associated with lower adherence to oral diabetes medications for all patients and higher total health care costs for patients less than 65.

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Year:  2008        PMID: 18469622     DOI: 10.1097/JOM.0b013e31816ed011

Source DB:  PubMed          Journal:  J Occup Environ Med        ISSN: 1076-2752            Impact factor:   2.162


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