美国的比较. 个人和家庭计划药物保险对过度活跃的膀
Neha G Gaddam1, Megan B Wallace2, Alexis A Dieter3
1From the MedStar Washington Hospital Center/Georgetown University.
Urogynecology (Philadelphia, Pa.)
|March 14, 2024
概括
过活性膀 (OAB) 药物的保险覆盖范围各不相同,首选的治疗方法往往比具有认知风险的药物更糟糕. 需要扩大对更安全的OAB药物的覆盖范围.
科学领域:
- 药物经济学 药物经济学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗保险 医疗保险 医疗保险
背景情况:
- 对过度活跃膀 (OAB) 的抗胆固醇药物与显著的长期认知风险有关.
- 对OAB治疗的保险覆盖的变化,包括抗胆固醇药和β-3激动剂,可能会阻碍个性化的患者护理.
研究的目的:
- 为了评估医疗保险覆盖范围,通常处方过活性膀 (OAB) 药物.
- 为了比较首选的OAB药物和具有较高认知障碍风险的药物之间的保险覆盖范围.
主要方法:
- 对美国顶级医疗保险公司的保险表单进行了横截面分析.
- 评估了七种OAB药物的覆盖层,比较非偏好的 (oxybutynin,solifenacin) 和偏好的 (trospium,mirabegron,vibegron) 药物.
- 计算了覆盖率得分,以量化和比较表单可访问性.
主要成果:
- 分析包括41个州的2,780个保险计划.
- 与非首选选项相比,首选的OAB药物通常具有更高的配方级别和更差的覆盖率 (P < 0.001).
- 各保险公司的覆盖范围一致性各不相同,特别是在膀特异性抗胆固醇药和延长释放配方方面.
结论:
- 尽管与抗胆固醇药物相关的认知风险已知,但β-3激动剂往往更昂贵,保险覆盖率更低.
- 扩大对首选OAB药物的保险覆盖面对促进减轻认知风险的治疗选择至关重要.
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