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Diabetes patients in high-deductible health plans 28% more likely to skip their medications due to cost: study

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For Americans with diabetes, enrolling in High Deduction Health Insurance (HDHP) significantly increases the risk of not taking prescription drugs due to costs, according to a new study released today by researchers at Harvard Medical School. General Internal Medicine Journal.. HDHP, which currently accounts for half of all commercial health insurance plans, requires patients to pay for all care at their own expense until the plan’s deductions are reached. After reaching the deduction (usually $ 1,300 for individuals and $ 2,600 for families), insurance begins to cover medical costs.

The study was among all patients Diabetes, 20% of people enrolled in HDHP reported refraining from medication due to cost, compared to 16% of people with traditional commercial plans. Twenty-five percent of HDHP registrants could not afford the drug, especially in patients taking insulin because of diabetes, while 19% of patients with previous plans had a 31% higher drug deficiency rate. I have.

This survey used over 7,000 federal survey data Adult patient Diabetic patients enrolled in commercial health insurance plans with or without high deductions. Researchers compared the response of patients with HDHP to patients with traditional plans without high deductions and looked at how often they reported that they did not take prescription drugs because they could not afford them. rice field.

“Taking the prescribed medication is essential to maintain health Dr. Vikas Gampa, a primary care physician and medical instructor at Harvard Medical School, now at Massachusetts General Hospital, said: When it comes to diabetics, they are putting diabetics at risk because they are discouraging them from taking the medicines they need. ”

The study also Diabetics They studied, what they couldn’t take dosage As prescribed, they were more likely to see one or more emergency outpatient visits than patients who were forced to skip medication because they could not afford it, and potentially more hospitalizations per year. had. “As with plans that are eligible for high deductions, setting financial barriers to medical care to save on planning costs not only burdens patients with medical costs, but also covers the emergency department, etc. It’s also short-sighted to actually increase medical costs. Visits, “said Dr. Gampa.

The authors of the study have new data on patients, doctors, and Policy maker.. “Diabetics need to be aware that high deduction plans are at risk of missing or delaying their dosing, and doctors need to be aware of their Patience “These plans may not adhere to the treatment plan,” said Dr. Danny McCormick, an associate professor at Harvard Medical School and the attending physician of the Cambridge Health Alliance, who is the lead author of the study. Reforms need to be put in place to discourage health plans from implementing financial barriers that impede access to necessary care, such as high-deduction plans. Our results suggest that policy makers must enact reforms to control the rapidly rising prices of diabetes drugs. ”


Asthma drug use and exacerbation


For more information:
Association of High Deduction Health Insurance and Cost-Related Adherence Non-Compliance in Americans with Diabetes: Observational Studies, General Internal Medicine Journal (2021). DOI: 10.1007 / s11606-021-06937-9

Provided by a doctor for the National Health Program

Quote: Highly deductible diabetics are 28% more likely to skip medication due to cost: Study (July 29, 2021) https://medicalxpress.com Obtained July 29, 2021 from /news/2021-07-diabetes-patients-high-deductible-health-medications.html

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