Improving Medication Adherence by Addressing Out-of-Pocket Costs

Core Concepts

Addressing out-of-pocket costs can improve medication adherence and strengthen patient-clinician relationships.

Abstract

AURORA, Colorado ― How often do you talk with patients about how to lower their out-of-pocket costs for medical care? For most clinicians, the answer is: not often enough. But having those conversations can improve medication adherence and strengthen the patient-clinician relationship, according to panelists at the Society of General Internal Medicine (SGIM) 2023 Annual Meeting. Key Highlights: Study shows a clear inverse association between out-of-pocket expenditures and prescription adherence. Rates of prescription abandonment increase with higher out-of-pocket costs. Many Americans report cost as a barrier to medication adherence. Patients are open to discussing drug costs with their physicians. Real-time benefit tools can support cost conversations but accuracy is crucial. Patients feel stronger relationships with doctors who address cost concerns. Clinicians often avoid cost conversations due to lack of information or solutions. Providing resources for cost assistance can help patients access necessary treatment.

Stats

A 2020 study by the IQVIA Institute for Human Data Science found that rates of prescription abandonment are less than 5% when a given medication carries no out-of-pocket cost for patients. One in five Americans said cost prevented them from adhering to medication regimens. The researchers surveyed more than 2000 men and women, 40.4% of whom were at least aged 75 or older.

Quotes

"Real-time benefit tools may support medication cost conversations and cost-conscious prescribing, and patients are enthusiastic about their use." - Study Authors

Key Insights Distilled From

Pop This Question to Improve Medication Adherence

by Kelly Ragan at www.medscape.com 05-18-2023

https://www.medscape.com/viewarticle/992135

Deeper Inquiries

How can healthcare systems better support clinicians in addressing patient concerns about medication costs?

Healthcare systems can better support clinicians in addressing patient concerns about medication costs by providing training and resources on cost-effective prescribing practices. This can include educating clinicians on available cost estimation tools, patient assistance programs, and generic alternatives. Additionally, healthcare systems can implement policies that encourage open discussions about medication costs during patient visits and provide support staff who can assist patients in navigating insurance coverage and financial assistance programs. By equipping clinicians with the necessary tools and support, healthcare systems can empower them to have meaningful conversations with patients about medication costs and improve medication adherence.

What are the potential drawbacks of solely focusing on cost when discussing medication adherence?

Solely focusing on cost when discussing medication adherence can have several potential drawbacks. One major drawback is that it may overshadow other important factors that contribute to medication adherence, such as side effects, drug interactions, and patient beliefs and preferences. By solely focusing on cost, clinicians may neglect to address these crucial aspects of medication adherence, leading to suboptimal treatment outcomes. Additionally, placing too much emphasis on cost may inadvertently stigmatize patients who struggle to afford their medications, potentially causing feelings of shame or guilt. It is essential for clinicians to take a holistic approach to discussing medication adherence, considering all relevant factors that may impact a patient's ability to adhere to their treatment plan.

How can patient empowerment in managing healthcare costs lead to better health outcomes?

Patient empowerment in managing healthcare costs can lead to better health outcomes by promoting medication adherence and improving overall treatment outcomes. When patients are actively involved in discussions about medication costs and are provided with resources to reduce financial barriers, they are more likely to adhere to their prescribed treatment plans. This can result in better disease management, reduced hospitalizations, and improved quality of life. Additionally, empowered patients are more likely to communicate openly with their healthcare providers about any challenges they face in affording their medications, allowing for collaborative problem-solving and tailored solutions. By empowering patients to take control of their healthcare costs, healthcare systems can foster a sense of ownership and accountability in patients, ultimately leading to better health outcomes.