ArticleHealth affairs (Project Hope)2012
The financial burden from prescription drugs has declined recently for the nonelderly, although it is still high for many.
Article in Health affairs (Project Hope), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- The mediating role of life course cognitive reserve-enhancing factors in the relationship between adverse childhood experiences and dementia among older adults: evidence from a prospective cohort study in the United States.Social psychiatry and psychiatric epidemiology · 2025Article
- National Trends in Out-of-Pocket Costs Among U.S. Adults With Diabetes Aged 18-64 Years: 2001-2017.Diabetes care · 2021Article
- Trends in Out-of-Pocket Healthcare Expenses Before and After Passage of the Patient Protection and Affordable Care Act.JAMA network open · 2021Article
- Evaluation of Hospital-Based Acute Care Utilization by Uninsured Patients Enrolled in Free or Low-Cost Pharmacy Programs.Innovations in pharmacy · 2021Article
- Time Trends in Healthcare Utilization Due to Self-Reported Functional Diseases of the Stomach.Digestive diseases and sciences · 2020Article
- Cumulative Burden of Financial Hardship From Medical Bills Across the Spectrum of Diabetes Mellitus and Atherosclerotic Cardiovascular Disease Among Non-Elderly Adults in the United States.Journal of the American Heart Association · 2020Article
- The impact of Medicare part D on income-related inequality in pharmaceutical expenditure.International journal for equity in health · 2019Article
- Income Inequities and Medicaid Expansion are Related to Racial and Ethnic Disparities in Delayed or Forgone Care Due to Cost.Medical care · 2016Article
- Connecting Patients to Prescription Assistance Programs: Effects on Emergency Department and Hospital Utilization.Journal of managed care & specialty pharmacy · 2016Article
- Association between apple consumption and physician visits: appealing the conventional wisdom that an apple a day keeps the doctor away.JAMA internal medicine · 2015Article
- Persistent medication affordability problems among disabled Medicare beneficiaries after Part D, 2006-2011.Medical care · 2014Article
- Changes over time in high out-of-pocket health care burden in U.S. adults with diabetes, 2001-2011.Diabetes care · 2014Article
- Cost sharing and decreased branded oral anti-diabetic medication adherence among elderly Part D Medicare beneficiaries.Journal of general internal medicine · 2013Article
- What do parents have to do with my cognitive reserve? Life course perspectives on twelve-year cognitive decline.Neuroepidemiology · 2013Article
- Pharmacy accessibility and cost-related underuse of prescription medications in low-income Black and Hispanic urban communities.Journal of the American Pharmacists Association : JAPhAArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
Prescription drug spending and pharmacy benefit design have changed greatly over the past decade. However, little is known about the financial impact these changes have had on consumers. We examined ten years of nationally representative data from the Medical Expenditure Panel Survey and describe trends in two measures of financial burden for prescription drugs: out-of-pocket drug costs as a function of family income and the proportion of all out-of-pocket health care expenses accounted for by drugs. We found that although the percentage of people with high financial burden for prescription drugs increased from 1999 to 2003, it decreased from 2003 to 2007, with a slight increase in 2008. The decline is evidence of the success of strategies to lower drug costs for consumers, including the increased use of generic drugs. However, the financial burden is still high among some groups, notably those with public insurance and those with low incomes. For example, one in four nonelderly people devote more than half of their total out-of-pocket health care spending to prescription drugs. These trends suggest that the affordability of prescription drugs under the future insurance exchanges will need to be monitored, as will efforts by states to increase prescription drug copayments under Medicaid or otherwise restrict drug use to reduce public spending.
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