ArticleHealth affairs (Project Hope)2014
Medication affordability gains following Medicare Part D are eroding among elderly with multiple chronic conditions.
Article in Health affairs (Project Hope), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Cost-related medication nonadherence in Canada: a systematic review of prevalence, predictors, and clinical impact.Systematic reviews · 2021Pooled it
- Article
- Understanding social needs screening and demographic data collection in primary care practices serving Maryland Medicare patients.BMC health services research · 2024Article
- Developing an Integrated Longitudinal Dataset for Patient-Centered Outcome Measures in Cost-Related Medication Nonadherence.Medical care · 2023Article
- In the wake of a crisis: Caught between housing and healthcare.SSM - population health · 2023Article
- Psychological Well-being Relates to Healthcare and Financial Decision Making in a Study of Predominantly White Older Adults.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2023Article
- Prevalence and Persistence of Cost-Related Medication Nonadherence Among Medicare Beneficiaries at High Risk of Hospitalization.JAMA network open · 2021Article
- The Association of Late Life Cognitive Activity with Healthcare and Financial Decision-Making in Community-Dwelling, Nondemented Older Adults.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2021Article
- Effect of Cost-Related Medication Non-adherence Among Older Adults With Medication Therapy Management.Frontiers in medicine · 2021Article
- Pharmacists' Experiences, Perceptions, and Knowledge of Direct-to-Consumer Prescription Coupons.Journal of managed care & specialty pharmacy · 2020Article
- Change in Insurance Status and Cost-related Medication Non-adherence among Older U.S. Adults with Diabetes from 2010 to 2014.Journal of health & medical economics · 2018Article
- Comparing Generic Drug Markets in Europe and the United States: Prices, Volumes, and Spending.The Milbank quarterly · 2017Article
- Progress in increasing affordability of medicines for non-communicable diseases since the introduction of mandatory health insurance in the Republic of Moldova.Health policy and planning · 2016Article
- Mind the Gap: Why Closing the Doughnut Hole Is Insufficient for Increasing Medicare Beneficiary Access to Oral Chemotherapy.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2016Article
- Recent Literature on Medication Errors and Adverse Drug Events in Older Adults.Journal of the American Geriatrics Society · 2016Review
- Factors Associated With Healthcare and Financial Decision Making Among Older Black Adults Without Dementia.Clinical gerontologistArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
Elderly Americans, especially those with multiple chronic conditions, face difficulties paying for prescriptions, which results in worse adherence to and discontinuation of therapy, called cost-related medication nonadherence. Medicare Part D, implemented in January 2006, was supposed to address issues of affordability for prescriptions. We investigated whether the gains in medication affordability attributable to Part D persisted during the six years that followed its implementation. Overall, we found continued incremental improvements in medication affordability in the period 2007-09 that eroded during the period 2009-11. Among elderly beneficiaries with four or more chronic conditions, we observed an increase in the prevalence of cost-related nonadherence from 14.4 percent in 2009 to 17.0 percent in 2011, reversing previous downward trends. Similarly, the prevalence among the sickest elderly of forgoing basic needs to purchase medicines decreased from 8.7 percent in 2007 to 6.8 percent in 2009 but rose to 10.2 percent in 2011. Our findings highlight the need for targeted policy efforts to alleviate the persistent burden of drug treatment costs on this vulnerable population.
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