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Will the Medicare prescription drug benefit eliminate cost barriers for older adults with diabetes mellitus?

Abstract：

OBJECTIVES:To determine the proportion of older people with diabetes mellitus (DM) eligible to enroll in the standard Medicare Part D drug benefit who will exceed the initial $2,250 coverage limit and to determine the effect of hypoglycemic choice on risk of exceeding the coverage limit. DESIGN:Cross-sectional survey. SETTING:Nationally representative sample of adults living in United States households participating in the 2001 Medical Expenditure Panel Survey (MEPS). PARTICIPANTS:Individuals aged 65 and older with a diagnosis of DM eligible to enroll in the standard Medicare Part D drug benefit. MEASUREMENTS:Prescription medication use and expenditures adjusted to 2006 U.S. dollars as reported in the MEPS prescribed medicine file. Survey-weighted logistic regression models were used to estimate the odds of annual medication expenditures exceeding $2,250, controlling for hypoglycemic type, sociodemographic characteristics, chronic conditions, and health status. RESULTS:Of the estimated 3.2 million elderly people with DM eligible for the standard drug benefit filling a prescription in 2001, approximately 64% had medication expenditures in excess of $2,250 in 2006 adjusted dollars. The proportion exceeding the initial coverage limit varied by type of hypoglycemic drug used from 60% of those using traditional hypoglycemics to more than 75% of those using novel hypoglycemics. Patients with more comorbidities and poorer health status were at greater risk of exceeding the initial coverage limit. CONCLUSION:A large proportion of older adults with DM may exceed the initial coverage limit under the standard Medicare Part D drug benefit and incur significant out-of-pocket spending.

journal_name

J Am Geriatr Soc

journal_title

Journal of the American Geriatrics Society

authors

Tjia J,Schwartz JS

doi

10.1111/j.1532-5415.2006.00663.x

subject

Has Abstract

pub_date

2006-04-01 00:00:00

pages

606-12

issue

4

eissn

0002-8614

issn

1532-5415

pii

JGS663

journal_volume

54

pub_type

杂志文章

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