PharmacoEconomics & Outcomes News 804, p29 - 2 Jun 2018 Reducing cost sharing increases women’s use of preventive care The removal of cost sharing is associated with increases in women’s use of preventive care visits and contraception device insertion in the US, report researchers from that country. The researchers examined the relationship between the elimination of out-of-pocket costs (OOPCs) and two services that the Affordable Care Act (ACA) requires to be covered without OOPCs: preventive care office visits (POV) and insertion of long-acting reversible contraception (LARC) devices. The analysis of 2008–2015 claims data for 2 172 065 commercially insured women aged 15–45 years showed that use of POV and LARC insertion generally increased following OOPC elimination. In particular, the study showed that the changes in POV use and LARC insertion following OOPC elimination depended on the level of baseline OOPCs prior to the ACA, and the changes were especially marked for LARC insertion. The odds of LARC insertion were significantly higher after OOPC elimination for women in high-cost treatment plans, compared with those on low/ moderate-cost treatment plans (odds ratio 1.15). However, the researchers note that OOPC levels were modest for both services prior to the ACA. "It is important for policymakers, payers, and other stakeholders to recognize that baseline costs were already low for many commercially insured women, but women with higher costs may have had unmet demand, especially for LARC insertion," conclude the researchers. Dalton VK, et al. The impact of cost sharing on women’s use of annual examinations and effective contraception. American Journal of Obstetrics and Gynecology : 9 May 2018. Available from: URL: http://doi.org/10.1016/ j.ajog.2018.04.051 803322336 1173-5503/18/0804-0001/$14.95 Adis © 2018 Springer International Publishing AG. All rights reserved PharmacoEconomics & Outcomes News 2 Jun 2018 No. 804
PharmacoEconomics & Outcomes News – Springer Journals
Published: Jun 2, 2018
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