Search Results - "Cost Sharing

Journal Article

Elimination of cost‐sharing and receipt of screening for colorectal and breast cancer

by Fedewa, Stacey A Goodman, Michael Flanders, W. Dana Han, Xuesong Smith, Robert A M. Ward, Elizabeth Doubeni, Chyke A Sauer, Ann Goding Jemal, Ahmedin Published in Cancer (15.09.2015)

“...BACKGROUND The aim of the cost‐sharing provision of the Patient Protection and Affordable Care Act (ACA) was to reduce financial barriers for preventive...”

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Journal Article

Reduced Cost-sharing for Preventive Drugs Preferentially Benefits Low-income Patients With Diabetes in High Deductible Health Plans With Health Savings Accounts

by Ross-Degnan, Dennis Wallace, Jamie Zhang, Fang Soumerai, Stephen B Garabedian, Laura Wharam, J Frank Published in Medical care (01.06.2020)

“...BACKGROUND:High deductible health plans linked to Health Savings Accounts (HSA-HDHPs) must include all care under the deductible except for select preventive...”

Journal Article

Association of Prescription Drug Price Rebates in Medicare Part D With Patient Out-of-Pocket and Federal Spending

by Dusetzina, Stacie B Conti, Rena M Yu, Nancy L Bach, Peter B Published in JAMA internal medicine (01.08.2017)

“...The increasing cost of prescription drugs is a burden for patients and threatens the financial stability of the US health care system. Rebates are a form of...”

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Journal Article

Specialty Tier‐Level Cost Sharing and Biologic Agent Use in the Medicare Part D Initial Coverage Period Among Beneficiaries With Rheumatoid Arthritis

by Doshi, Jalpa A Hu, Tianyan Li, Pengxiang Pettit, Amy R Yu, Xinyan Blum, Marissa Published in Arthritis care & research (2010) (01.11.2016)

“...Objective To examine associations between specialty tier‐level cost sharing and use of biologic agents for rheumatoid arthritis (RA) during Medicare Part D's...”

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Journal Article

The impact of pharmaceutical rebates on patients’ drug expenditures

by Memedovich, K. Ally, BHSc Beall, Reed, PhD Clement, Fiona, PhD Manns, Braden, MD MSc Hollis, Aidan, PhD Published in Canadian Medical Association journal (CMAJ) (2019)

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Journal Article

Reference-Based Benefit Design Changes Consumers’ Choices And Employers’ Payments For Ambulatory Surgery

by Robinson, James C Brown, Timothy Whaley, Christopher Published in Health affairs (Project Hope) (01.03.2015)

“...Some employers are using reference-based benefit (RBB) designs, also known as "reference-based pricing," to encourage patients to select lower-price ambulatory...”

Journal Article

Association of Cost Sharing With Use of Home Health Services Among Medicare Advantage Enrollees

by Li, Qijuan Keohane, Laura M Thomas, Kali Lee, Yoojin Trivedi, Amal N Published in JAMA internal medicine (01.07.2017)

“...IMPORTANCE: Several policy proposals advocate introducing copayments for home health care in the Medicare program. To our knowledge, no prior studies have...”

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Journal Article

Specialty Drug Coupons Lower Out-of-Pocket Costs and May Improve Adherence at the Risk of Increasing Premiums

by Starner, Catherine I Alexander, G Caleb Bowen, Kevin Qiu, Yang Wickersham, Peter J Gleason, Patrick P Published in Health affairs (Project Hope) (01.10.2014)

“...Expenditures for specialty drugs account for more than 25 percent of total US drug spending and have been increasing at more than 13 percent annually. We...”

Journal Article

Power of 1 Malaysian Ringgit: A Low-Cost Prescription Cost-Sharing Model in Malaysia

by Kwong, Kien Seang Choo, Yai Wen Cheah, Huey Miin Published in Value in health regional issues (01.05.2020)

“...To calculate the total revenue under a hypothetical 1 Malaysian Ringgit (MYR) prescription cost sharing model in government healthcare facilities in Pahang,...”

Journal Article

Meeting the Tobacco Cessation Coverage Requirement of the Patient Protection and Affordable Care Act: State Smoking Cessation Quitlines and Cost Sharing

by Lemaire, Robin H Bailey, Linda Leischow, Scott J Published in American journal of public health (1971) (01.11.2015)

“...We explored whether various key stakeholders considered cost sharing with state telephone-based tobacco cessation quitlines, because including tobacco...”

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Journal Article

Does cost sharing do more harm or more good?-a systematic literature review

by Kolasa, Katarzyna Kowalczyk, Marta Published in BMC public health (15.09.2016)

“...There are positive and negative consequences of the implementation of out of pocket (OOP) payments as a source of the healthcare financing. On the one hand,...”

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Journal Article

Value-based cost sharing in the United States and elsewhere can increase patients' use of high-value goods and services

by Thomson, Sarah Schang, Laura Chernew, Michael E Published in Health affairs (Project Hope) (01.04.2013)

“...This article reviews efforts in the United States and several other member countries of the Organization for Economic Cooperation and Development to encourage...”

Journal Article

LINK BETWEEN PAY FOR PERFORMANCE INCENTIVES AND PHYSICIAN PAYMENT MECHANISMS: EVIDENCE FROM THE DIABETES MANAGEMENT INCENTIVE IN ONTARIO

by Kantarevic, Jasmin Kralj, Boris Published in Health economics (01.12.2013)

“...ABSTRACT Pay for performance (P4P) incentives for physicians are generally designed as additional payments that can be paired with any existing payment...”

Journal Article

Five Policy Levers To Meet The Value Challenge In Cancer Care

by Callahan, Ryan Darzi, Ara Published in Health affairs (Project Hope) (01.09.2015)

“...The burden of cancer on public finances is a serious concern for policy makers. More people are developing cancer, and as standards of care have risen, more...”

Journal Article

“Doctor my eyes”: A natural experiment on the demand for eye care services

by Dickey, H Ikenwilo, D Norwood, P Watson, V Zangelidis, A Published in Social science & medicine (1982) (01.02.2016)

“...Preventive health care is promoted by many organisations from the World Health Organisation (WHO) to regional and national governments. The degree of...”

Journal Article

Specialty pharmaceuticals: policy initiatives to improve assessment, pricing, prescription, and use

by Robinson, James C Howell, Scott Published in Health affairs (Project Hope) (01.10.2014)

“...The value of "specialty pharmaceuticals" for cancer and other complex conditions depends not merely on their molecular structures but also on the manner in...”

Journal Article

The Effect of a Large Regional Health Plan's Value-based Insurance Design Program on Statin Use

by Matthew B. Frank A. Mark Fendrick Yulei He Arthur Zbrozek Norma Holtz Simon Leung Michael E. Chernew Published in Medical care (01.11.2012)

“...Background: Cost-sharing requirements employed by health insurers to discourage the unnecessary use of medications may lead to underutilization of recommended...”

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Journal Article

Medicare Part D Prescription Drug Program: Benefits, Unintended Consequences and Impact on Health Disparities

by Dismuke, Clara E Egede, Leonard E Published in Journal of general internal medicine : JGIM (01.07.2013)

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Journal Article

Cost Sharing In Medicaid And CHIP: How Does It Affect Out-Of-Pocket Spending?

by Selden, Thomas M Kenney, Genevieve M Pantell, Matthew S Ruhter, Joel Published in Health Affairs (01.07.2009)

“...Rapidly rising spending has prompted debate about increasing cost sharing in Medicaid and the Children's Health Insurance Program (CHIP). In this paper we...”

Journal Article

Cost Sharing and Decreased Branded Oral Anti-Diabetic Medication Adherence Among Elderly Part D Medicare Beneficiaries

by Sacks, Naomi C Burgess Jr, James F Cabral, Howard J Pizer, Steven D McDonnell, Marie E Published in Journal of general internal medicine : JGIM (01.07.2013)

“...Although the Medicare Part D coverage gap phase-out should reduce cost-related nonadherence (CRN) among seniors with diabetes, preferential generic prescribing...”

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