{"id":16515,"date":"2019-02-14T00:00:00","date_gmt":"2019-02-14T00:00:00","guid":{"rendered":"http:\/\/medgoo.com\/index.php\/2019\/02\/14\/medicare-patients-with-ms-face-higher-out-of-pocket-rx-costs\/"},"modified":"2019-02-15T17:09:08","modified_gmt":"2019-02-15T17:09:08","slug":"medicare-patients-with-ms-face-higher-out-of-pocket-rx-costs","status":"publish","type":"post","link":"https:\/\/medgoo.com\/index.php\/2019\/02\/14\/medicare-patients-with-ms-face-higher-out-of-pocket-rx-costs\/","title":{"rendered":"Medicare Patients With MS Face Higher Out-of-Pocket Rx Costs"},"content":{"rendered":"<h3>Projected cumulative out-of-pocket spending for disease-modifying therapies for 2019 was &#36;6,894<\/h3>\n<p><b><\/b><\/p>\n<p><b><\/b><\/p>\n<p>THURSDAY, Feb. 14, 2019 (HealthDay News) &#8212; Medicare patients with multiple sclerosis (MS) face increasing out-of-pocket costs for disease-modifying therapies, according to a study published in the February issue of <i>Health Affairs<\/i>.<\/p>\n<p>Daniel M. Hartung, Pharm.D., M.P.H., from Oregon State University\/Oregon Health and Science University in Portland, and colleagues used enrollment-weighted Prescription Drug Plan Formulary files (2007 to 2016) to assess changes in pharmacy benefit coverage and cost-sharing amounts for MS disease-modifying therapies in the Medicare Part D program.<\/p>\n<p>The researchers found that the rate of prior authorization use increased from 61 to 66 percent of plans to 84 to 90 percent. There was a decline from 39 to 17 percent in the share of plans with at least one therapy available without limitations. For 2019, the projected cumulative out-of-pocket spending was $6,894. Generic glatiramer acetate was the therapy with the highest out-of-pocket spending.<\/p>\n<p>&#8220;Policy makers need to consider both access restrictions and a growing cost-sharing burden as potential consequences of high and rising drug prices for people with MS,&#8221; the authors write.<\/p>\n<p><a href=\"https:\/\/www.healthaffairs.org\/doi\/full\/10.1377\/hlthaff.2018.05357\" target=\"_new\">Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n<p><i><\/i><\/p>\n<p><i>Copyright \u00a9 2019 <a href=\"https:\/\/www.healthday.com\/\" target=\"_new\">HealthDay<\/a>. All rights reserved.<\/i><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Projected cumulative out-of-pocket spending for disease-modifying therapies for 2019 was &#36;6,894<\/p>\n","protected":false},"author":6,"featured_media":16566,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6],"tags":[11],"class_list":["post-16515","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","tag-news"],"_links":{"self":[{"href":"https:\/\/medgoo.com\/index.php\/wp-json\/wp\/v2\/posts\/16515","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medgoo.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medgoo.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medgoo.com\/index.php\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/medgoo.com\/index.php\/wp-json\/wp\/v2\/comments?post=16515"}],"version-history":[{"count":0,"href":"https:\/\/medgoo.com\/index.php\/wp-json\/wp\/v2\/posts\/16515\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medgoo.com\/index.php\/wp-json\/wp\/v2\/media\/16566"}],"wp:attachment":[{"href":"https:\/\/medgoo.com\/index.php\/wp-json\/wp\/v2\/media?parent=16515"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medgoo.com\/index.php\/wp-json\/wp\/v2\/categories?post=16515"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medgoo.com\/index.php\/wp-json\/wp\/v2\/tags?post=16515"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}