Literature DB >> 31883008

Oral Oncology Parity Laws, Medication Use, and Out-of-Pocket Spending for Patients With Blood Cancers.

Stacie B Dusetzina1,2, Haiden A Huskamp3, Shelley A Jazowski4,5, Aaron N Winn6,7,8, William A Wood9,10, Adam Olszewski11, Ethan Basch9,10, Nancy L Keating3,12.   

Abstract

BACKGROUND: In this study, we sought to estimate the association between oral oncology parity law adoption and anticancer medication use for patients with chronic myeloid leukemia or multiple myeloma.
METHODS: This was an observational study of administrative claims from 2008 to 2017. Among individuals initiating tyrosine kinase inhibitors (TKIs) for chronic myeloid leukemia or immunomodulatory drugs for multiple myeloma, we compared out-of-pocket spending, adherence, and discontinuation before and after parity among individuals in fully insured plans (subject to parity) vs self-funded plans (exempt from parity) using propensity-score weighted difference-in-differences regression models.
RESULTS: Among patients initiating TKIs (N = 2082) or immunomodulatory drugs (N = 3326) there were no statistically significant differences in adherence or discontinuation associated with parity. The proportion of patients with initial out-of-pocket payments of $0 increased in fully insured plans after parity from 5.7% to 46.1% for TKIs and from 10.9% to 48.8% for immunomodulatory drugs. Relative to changes in self-funded plans, those in fully insured plans were 4.27 (95% CI = 2.20 to 8.27) times as likely to pay nothing for TKIs and 1.96 (95% CI = 1.40 to 2.73) times as likely to pay nothing for immunomodulatory drugs after parity. Similarly, the proportion paying more than $100 decreased from 30.3% to 24.7% for TKIs and 30.6% to 27.5% for immunomodulatory drugs in fully insured plans after parity. Relative to changes in self-funded plans, those in fully insured plans were 0.74 (95% CI = 0.54 to 1.01) times as likely to pay more than $100 for TKIs and 0.85 (95% CI = 0.68 to 1.06) times as likely to pay more than $100 for immunomodulatory drugs after parity.
CONCLUSIONS: Among patients initiating TKIs or immunomodulatory drugs, parity was not associated with better adherence or less discontinuation of therapy but yielded decreased patient out-of-pocket payments for some patients.
© The Author(s) 2019. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oup.com.

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Year:  2020        PMID: 31883008      PMCID: PMC7566334          DOI: 10.1093/jnci/djz243

Source DB:  PubMed          Journal:  J Natl Cancer Inst        ISSN: 0027-8874            Impact factor:   13.506


  18 in total

1.  A modified poisson regression approach to prospective studies with binary data.

Authors:  Guangyong Zou
Journal:  Am J Epidemiol       Date:  2004-04-01       Impact factor: 4.897

2.  Measurement of adherence in pharmacy administrative databases: a proposal for standard definitions and preferred measures.

Authors:  Lisa M Hess; Marsha A Raebel; Douglas A Conner; Daniel C Malone
Journal:  Ann Pharmacother       Date:  2006 Jul-Aug       Impact factor: 3.154

3.  Methods for evaluating changes in health care policy: the difference-in-differences approach.

Authors:  Justin B Dimick; Andrew M Ryan
Journal:  JAMA       Date:  2014-12-10       Impact factor: 56.272

4.  Specialty Drug Pricing and Out-of-Pocket Spending on Orally Administered Anticancer Drugs in Medicare Part D, 2010 to 2019.

Authors:  Stacie B Dusetzina; Haiden A Huskamp; Nancy L Keating
Journal:  JAMA       Date:  2019-05-28       Impact factor: 56.272

5.  Retrospective evaluation of the impact of copayment increases for specialty medications on adherence and persistence in an integrated health maintenance organization system.

Authors:  Yoona A Kim; Karen L Rascati; Karim Prasla; Paul Godley; Nishi Goel; Desiree Dunlop
Journal:  Clin Ther       Date:  2011-05       Impact factor: 3.393

6.  Factors Associated With Tyrosine Kinase Inhibitor Initiation and Adherence Among Medicare Beneficiaries With Chronic Myeloid Leukemia.

Authors:  Aaron N Winn; Nancy L Keating; Stacie B Dusetzina
Journal:  J Clin Oncol       Date:  2016-10-31       Impact factor: 44.544

7.  Association of Patient Out-of-Pocket Costs With Prescription Abandonment and Delay in Fills of Novel Oral Anticancer Agents.

Authors:  Jalpa A Doshi; Pengxiang Li; Hairong Huo; Amy R Pettit; Katrina A Armstrong
Journal:  J Clin Oncol       Date:  2017-12-20       Impact factor: 44.544

8.  Cost sharing and adherence to tyrosine kinase inhibitors for patients with chronic myeloid leukemia.

Authors:  Stacie B Dusetzina; Aaron N Winn; Gregory A Abel; Haiden A Huskamp; Nancy L Keating
Journal:  J Clin Oncol       Date:  2013-12-23       Impact factor: 44.544

9.  Patient Out-of-Pocket Payments for Oral Oncolytics: Results From a 2009 US Claims Data Analysis.

Authors:  Martin L Raborn; Elise M Pelletier; Daniel B Smith; Carolina M Reyes
Journal:  J Oncol Pract       Date:  2012-05       Impact factor: 3.840

10.  Thinking beyond the mean: a practical guide for using quantile regression methods for health services research.

Authors:  Benjamin Lê Cook; Willard G Manning
Journal:  Shanghai Arch Psychiatry       Date:  2013-02
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  1 in total

1.  Association of High-Deductible Health Plan Enrollment With Spending on and Use of Lenalidomide Therapy Among Commercially Insured Patients With Multiple Myeloma.

Authors:  Shelley A Jazowski; Lauren Wilson; Stacie B Dusetzina; S Yousuf Zafar; Leah L Zullig
Journal:  JAMA Netw Open       Date:  2022-06-01
  1 in total

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