RetroSearch Browse

Home - News ( United States | United Kingdom | Italy | Germany ) - Football scores

Showing content from https://pubmed.ncbi.nlm.nih.gov/18479407/ below:

Effects of a consumer driven health plan on pharmaceutical spending and utilization

. 2008 Oct;43(5 Pt 1):1542-56. doi: 10.1111/j.1475-6773.2008.00857.x. Epub 2008 May 13. Effects of a consumer driven health plan on pharmaceutical spending and utilization

Affiliations

Affiliation

¹ Department of Finance, Director, Medical Industry Leadership Institute, Carlson School of Management, University of Minnesota, 321 19th Avenue South, Room 3-122, Minneapolis, MN, USA.

PMID: 18479407
PMCID: PMC2653878
DOI: 10.1111/j.1475-6773.2008.00857.x

Item in Clipboard

Effects of a consumer driven health plan on pharmaceutical spending and utilization

Stephen T Parente et al. Health Serv Res. 2008 Oct.

. 2008 Oct;43(5 Pt 1):1542-56. doi: 10.1111/j.1475-6773.2008.00857.x. Epub 2008 May 13. Affiliation

¹ Department of Finance, Director, Medical Industry Leadership Institute, Carlson School of Management, University of Minnesota, 321 19th Avenue South, Room 3-122, Minneapolis, MN, USA.

PMID: 18479407
PMCID: PMC2653878
DOI: 10.1111/j.1475-6773.2008.00857.x

Item in Clipboard

Abstract

Objectives: To compare pharmaceutical spending and utilization in a consumer driven health plan (CDHP) with a three-tier pharmacy benefit design, and to examine whether the CDHP creates incentives to reduce pharmaceutical spending and utilization for chronically ill patients, generic or brand name drugs, and mail-order drugs.

Study design: Retrospective insurance claims analysis from a large employer that introduced a CDHP in 2001 in addition to a point of service (POS) plan and a preferred provider organization (PPO), both of which used a three-tier pharmacy benefit.

Methods: Difference-in-differences regression models were estimated for drug spending and utilization. Control variables included the employee's income, age, and gender, number of covered lives per contract, election of flexible spending account, health status, concurrent health shock, cohort, and time trend. Results. CDHP pharmaceutical expenditures were lower than those in the POS cohort in 1 year without differences in the use of brand name drugs. We find limited evidence of less drug consumption by CDHP enrollees with chronic illnesses, and some evidence of less generic drug use and more mail-order drug use among CDHP members.

Conclusions: The CDHP is cost-neutral or cost-saving to both the employer and the employee compared with three-tier benefits with no differences in brand name drug use.

PubMed Disclaimer