Cost Sharing Cuts Employers' Drug Spending- But Employees Don't Get the Savings

Abstract

Spending on outpatient prescription drugs has increased at double-digit rates for the past decade and is now the third largest component of health care expenses after hospital care and physician services. In an attempt to control costs, many employers and insurers have adopted incentive-based formularies, in which drugs are placed in different tiers. Under these arrangements, most drugs are covered, but enrollees have different co-payments depending on the tier to which a drug is assigned. Do increased patient cost sharing and formulary restrictions reduce pharmaceutical use and costs? To answer this question, a RAND team led by economist Geoffrey Joyce examined more than 700,000 person-years of data on beneficiaries enrolled in health plans from 25 private employers. The study is the largest ever conducted involving non-elderly patients enrolled in employer-sponsored health plans.

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Document Details

Document Type
Technical Report
Publication Date
Feb 01, 2003
Accession Number
ADA411929

Entities

Organizations

  • RAND Corporation

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Abstracts
  • Classification
  • Consumers
  • Data Sets
  • Economics
  • Generic Drugs
  • Health Care
  • Health Services
  • Hospitals
  • Insurance
  • Medical Personnel
  • Money
  • Motivation
  • Physicians
  • Prescription Drugs
  • Websites

Fields of Study

  • Medicine
  • Political science

Readers

  • Economics
  • Medical or Health Care Field.