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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
- Trivedi AN et al
Increased ambulatory care copayments and hospitalizations
among the elderly.
N Engl J Med 2010 Jan 28; 362:320.
PMID: 20107218
- 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
- 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