从2018年到2022年,医疗补助中对降脂疗法的利用和支出
Alexander Beschloss1, Rishi K Wadhera2, Andrew S Oseran2
1Department of Medicine, Massachusetts General Hospital, Boston, MA.
American heart journal
|June 27, 2025
概括
医疗补助计划对降脂药物的支出从2018年至2022年增长了13.2%,尽管处方填充稳定. 越来越多地使用新的,昂贵的疗法,如PCSK9抑制剂,推动了这一趋势.
科学领域:
- 药物经济学 药物经济学
- 心血管医学 心血管医学
- 卫生政策 卫生政策
背景情况:
- 降脂药物对于控制心血管疾病风险至关重要.
- 医疗补助计划是低收入人口的主要支付者,低收入人口不成比例地受到心血管疾病的影响.
研究的目的:
- 分析美国医疗补助计划中降脂药物的使用和支出趋势.
- 确定特定的药物类别,这些药物类别有助于2018年至2022年期间总体支出变化.
主要方法:
- 从2018年到2022年对医疗补助支出按药物数据集的回顾性分析.
- 检查了32种降脂药物配方的利用 (处方填充) 和支出,包括品牌和仿制品.
主要成果:
- 降脂药物的年总处方填充量保持稳定 (22.7M至22.9M),但支出增加了13.2% (348.3M至394.4M美元).
- 静止剂的使用和支出略有下降,而PCSK9抑制剂,icosapent乙烯和bempedoic acid的填充量和成本均显著增加.
- 使用PCSK9抑制剂的数量从7,617个增加到121,737个填充,支出从890万美元增加到6570万美元.
结论:
- 稳定的整体处方填充在医疗补助计划中的降脂药物掩盖了显著的支出增加,这是由于使用更新,更昂贵的疗法而导致的.
- 政策制定者必须监控新型高成本药物的支出,以管理医疗补助预算,并应对低收入人群中心血管疾病日益增加的负担.
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