Copayment reductions generate greater medication adherence in targeted patients

Matthew L. Maciejewski; Joel F. Farley; John Parker; Daryl Wansink

doi:10.1377/hlthaff.2010.0571

Copayment reductions generate greater medication adherence in targeted patients

Matthew L. Maciejewski, Joel F. Farley, John Parker, Daryl Wansink

Pharmaceutical Care and Health Systems

Research output: Contribution to journal › Article › peer-review

107 Scopus citations

Abstract

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.

Original language	English (US)
Pages (from-to)	2002-2008
Number of pages	7
Journal	Health Affairs
Volume	29
Issue number	11
DOIs	https://doi.org/10.1377/hlthaff.2010.0571
State	Published - Nov 1 2010

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abstract = "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.",

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Copayment reductions generate greater medication adherence in targeted patients

Abstract

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