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Medication adherence and enrollment in a consumer-driven health plan
Song Chen1, Regina A Levin, James A Gartner
1United Health Group, 15 Runyon St, Hillsborough, NJ 08844, USA. song_chen@uhc.com
The American Journal of Managed Care
|February 13, 2010
Summary
Consumer-driven health plans (CDHPs) were associated with lower adherence to certain maintenance medications, including cardiac and cholesterol drugs. This study highlights potential challenges in medication management within CDHP models.
Area of Science:
- Health Economics
- Pharmaceutical Policy
- Patient Adherence Research
Background:
- Consumer-driven health plans (CDHPs) are increasingly prevalent, shifting healthcare cost responsibility to patients.
- Understanding the impact of CDHPs on medication adherence is crucial for patient outcomes and healthcare system efficiency.
Purpose of the Study:
- To evaluate the effect of enrolling in a consumer-driven health plan (CDHP) on patient adherence to essential maintenance medications.
- To compare medication adherence between patients in CDHPs and traditional managed care plans.
Main Methods:
- A two-year retrospective cohort study design was employed.
- Patients were categorized into either a full-replacement CDHP or a traditional managed care plan.
- Medication adherence was assessed using continuation rates, time to prescription refill, changes in compliance rates, and duration of continuous drug supply across 8 drug classes.
Main Results:
- CDHP patients showed lower adherence for cardiac and cholesterol medications compared to traditional plan patients.
- A greater decline in compliance rates over time was observed in the CDHP cohort for asthma, cardiac, and cholesterol drugs.
- CDHP patients also had earlier termination of continuous drug supply for epilepsy and cholesterol medications.
Conclusions:
- Enrollment in consumer-driven health plans may lead to reduced adherence for specific maintenance drug classes.
- These findings suggest potential challenges in medication management and patient support within CDHP frameworks.
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