Document Detail


Copayment reductions generate greater medication adherence in targeted patients.
MedLine Citation:
PMID:  21041739     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
A large value-based insurance design program offered by Blue Cross Blue Shield of North Carolina eliminated generic medication copayments and reduced copayments for brand-name medications. Our study showed that the program improved adherence to medications for diabetes, hypertension, hyperlipidemia, and congestive heart failure. We found that adherence improved for enrollees, ranging from a gain of 3.8 percentage points for patients with diabetes to 1.5 percentage points for those taking calcium-channel blockers, when compared to others whose employers did not offer a similar program. An examination of longer-term adherence and trends in health care spending is still needed to provide a compelling evidence base for value-based insurance design.
Authors:
Matthew L Maciejewski; Joel F Farley; John Parker; Daryl Wansink
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  Health affairs (Project Hope)     Volume:  29     ISSN:  1544-5208     ISO Abbreviation:  Health Aff (Millwood)     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-11-02     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8303128     Medline TA:  Health Aff (Millwood)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2002-8     Citation Subset:  IM    
Affiliation:
Center For Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Department of Medicine, Duke University Medical Center, Durham, NC, USA. mlm34@duke.edu
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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