患者责任,治疗坚持和治疗持久性与州禁止共同支付累积器调整计划相关
Achal Patel1, Danny Sheinson1, William B Wong1
1Genentech, Inc., South San Francisco, CA.
Journal of managed care & specialty pharmacy
|August 30, 2024
概括
州禁止协支累积器调整计划 (CAAPs) 显著降低了患者的自付费用,并改善了对自身免疫和多发性硬化症治疗的药物坚持和持续性.
科学领域:
- 卫生经济学 卫生经济学
- 制药政策 制药政策
- 患者的治疗结果.
背景情况:
- 医疗保险公司越来越多地使用copay累积器调整计划 (CAAP) 来管理药物成本.
- 一些美国州已经禁止CAAP,以保护患者免受不断升级的自付费用.
研究的目的:
- 评估州级CAAP禁令对患者财务责任的影响.
- 评估CAAP禁令对患者治疗坚持和持续性的影响.
主要方法:
- 从2017-2021年使用行政索赔数据 (IQVIA PharMetrics Plus) 的回顾性队列研究.
- 包括商业保险患者使用自身免疫或多发性硬化症药物.
- 在有CAAP禁令的州和没有,在禁令实施之前和之后的州的结果进行比较.
主要成果:
- 有CAAP禁令的国家在2个月内,患者责任相对减少了41%-63%.
- 每月患者的储蓄从128美元到520美元不等.
- 禁药州的患者有14%更高的治疗坚持率和13%更低的中止风险.
结论:
- 限制CAAP的州立法与降低患者成本以及更好的治疗坚持和持续性有关.
- 调查结果为正在考虑或最近颁布CAAP禁令立法的州提供了见解.
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