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Medication costs and adherence of treatment before and after the affordable care act: 1999-2015

Author

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  • Kennedy, J.
  • Wood, E.G.

Abstract

To examine national changes in rates of cost-related prescription nonadherence (CRN) by age group, we used data from the 1999-2015 Sample Adult and Sample Child National Health Interview Surveys (n = 768 781). In a logistic regression analysis of 2015 data, we identified subgroups at risk for cost-related nonadherence. The proportion of all Americans who did not fill a prescription in the previous 12 months because they could not afford it grew from 1999 to 2009, peaking at 8.3% at the height of the Great Recession and dropping to 5.2% by 2015. CRN among seniors, however, peaked in 2004 at 5.4% and dropped to 3.6% after implementation ofMedicare PartDin 2006. CRN is responsive to improved access related to implementation of Medicare Part D and the Affordable Care Act.

Suggested Citation

  • Kennedy, J. & Wood, E.G., 2016. "Medication costs and adherence of treatment before and after the affordable care act: 1999-2015," American Journal of Public Health, American Public Health Association, vol. 106(10), pages 1804-1807.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2016.303269_5
    DOI: 10.2105/AJPH.2016.303269
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    Cited by:

    1. Jill Furzer & Maripier Isabelle & Boriana Miloucheva & Audrey Laporte, 2023. "Public drug insurance, moral hazard and children's use of mental health medication: Latent mental health risk‐specific responses to lower out‐of‐pocket treatment costs," Health Economics, John Wiley & Sons, Ltd., vol. 32(2), pages 518-538, February.
    2. Morgan, Steven G. & Good, Chester B. & Leopold, Christine & Kaltenboeck, Anna & Bach, Peter B. & Wagner, Anita, 2018. "An analysis of expenditures on primary care prescription drugs in the United States versus ten comparable countries," Health Policy, Elsevier, vol. 122(9), pages 1012-1017.
    3. Jill Furzer & Maripier Isabelle & Boriana Miloucheva & Audrey Laporte, 2021. "Public drug insurance and children’s use of mental health medication: Risk-specific responses to lower out-of-pocket treatment costs," CIRANO Working Papers 2021s-34, CIRANO.

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