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State Out-Of-Pocket Caps On Insulin Costs: No Significant Increase In Claims Or Utilization.
- Source :
-
Health affairs (Project Hope) [Health Aff (Millwood)] 2024 Aug; Vol. 43 (8), pp. 1137-1146. - Publication Year :
- 2024
-
Abstract
- Nearly all patients with type 1 diabetes and 20-30 percent of patients with type 2 diabetes use insulin to manage glycemic control. Approximately one-quarter of patients who use insulin report underuse because of cost. In response, more than twenty states have implemented monthly caps on insulin out-of-pocket spending, ranging from $25 to $100. Using a difference-in-differences approach, this study evaluated whether state-level caps on insulin out-of-pocket spending change insulin usage among commercially insured enrollees. The study included 33,134 people ages 18-64 who had type 1 diabetes or who used insulin to manage type 2 diabetes with commercial insurance coverage that was subject to state-level oversight and was included in the 25 percent sample of the IQVIA PharMetrics database during 2018-21. Insulin out-of-pocket caps did not significantly increase quarterly insulin claims for enrollees who had type 1 diabetes or who used insulin to manage type 2 diabetes. State-level caps on insulin out-of-pocket spending for commercial enrollees did not significantly increase insulin use; that may be in part because of out-of-pocket expenses being lower than cap amounts.
- Subjects :
- Humans
Female
Middle Aged
Adult
Male
United States
Adolescent
Insurance Claim Review
Insurance Coverage statistics & numerical data
Young Adult
Insurance, Health economics
Insurance, Health statistics & numerical data
Drug Costs statistics & numerical data
Insulin therapeutic use
Insulin economics
Diabetes Mellitus, Type 2 drug therapy
Diabetes Mellitus, Type 2 economics
Diabetes Mellitus, Type 1 drug therapy
Diabetes Mellitus, Type 1 economics
Health Expenditures statistics & numerical data
Hypoglycemic Agents therapeutic use
Hypoglycemic Agents economics
Subjects
Details
- Language :
- English
- ISSN :
- 2694-233X
- Volume :
- 43
- Issue :
- 8
- Database :
- MEDLINE
- Journal :
- Health affairs (Project Hope)
- Publication Type :
- Academic Journal
- Accession number :
- 39102598
- Full Text :
- https://doi.org/10.1377/hlthaff.2024.00118