Impact of multi-tiered pharmacy benefits on attitudes of plan members with chronic disease states
| Autor: | Sonya J. Lewis, Kavita V. Nair, Marianne McCollum, Robert J. Valuck, Julie M. Ganther |
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| Rok vydání: | 2003 |
| Předmět: |
Copayment
medicine.medical_specialty education.field_of_study Prescription drug business.industry Health Policy Population Pharmaceutical Science Pharmacy Patient satisfaction Family medicine Health care Managed care Medicine Medical prescription business education health care economics and organizations |
| Zdroj: | Journal of managed care pharmacy : JMCP. 8(6) |
| ISSN: | 1083-4087 |
| Popis: | OBJECTIVE: To evaluate the effects of 2- and 3-tiered pharmacy benefit plans on member attitudes regarding their pharmacy benefits. METHODS: We performed a mail survey and cross-sectional comparison of the outcome variables in a large managed care population in the western United States. Participants were persons with chronic disease states who were in 2- or 3-tier copay drug plans. A random sample of 10,662 was selected from a total of 25,008 members who had received 2 or more prescriptions for a drug commonly used to treat one of 5 conditions: hypertension, diabetes, dyslipidemia, gastroesophageal reflux disease (GERD), or arthritis. Statistical analysis included bivariate comparisons and regression analysis of the factors affecting member attitudes, including satisfaction, loyalty, health plan choices, and willingness to pay a higher out-ofpocket cost for medications. RESULTS: A response rate of 35.8% was obtained from continuously enrolled plan members. Respondents were older, sicker, and consumed more prescriptions than nonrespondents. There were significant differences in age and health plan characteristics between 2- and 3-tier plan members: respondents aged 65 or older represented 11.7% of 2-tier plan members and 54.7% of 3-tier plan members, and 10.0% of 2-tier plan members were in Medicare+Choice plans versus 61.4% in Medicare+Choice plans for 3-tier plan members (P |
| Databáze: | OpenAIRE |
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