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medical copayments; out-of-pocket cost

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. Trivedi AN et al Increased ambulatory care copayments and hospitalizations among the elderly. N Engl J Med 2010 Jan 28; 362:320. PMID: 20107218
  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. PMID: 28973087 http://jamanetwork.com/journals/jamacardiology/article-abstract/2654960
  3. 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 PMID: 29261440 http://ascopubs.org/doi/abs/10.1200/JCO.2017.74.5091