دورية أكاديمية

Results of Leveraging Pharmaceutical Patient Assistance Programs to Expand Access to High Cost Medications in a Student-Run Free Clinic.

التفاصيل البيبلوغرافية
العنوان: Results of Leveraging Pharmaceutical Patient Assistance Programs to Expand Access to High Cost Medications in a Student-Run Free Clinic.
المؤلفون: Lee JJ; Vanderbilt University School of Medicine, Nashville, TN, USA. juliejiyunlee@gmail.com., Sack DE; Vanderbilt University School of Medicine, Nashville, TN, USA., Kam S; Vanderbilt University School of Medicine, Nashville, TN, USA., Reed SC; Vanderbilt University School of Medicine, Nashville, TN, USA., Carew B; Department of General Internal Medicine and Public Health, Vanderbilt University Medical Center, Nashville, TN, USA., Lloyd C; Department of General Internal Medicine and Public Health, Vanderbilt University Medical Center, Nashville, TN, USA., Weaver EO; Department of General Internal Medicine and Public Health, Vanderbilt University Medical Center, Nashville, TN, USA., Miller RF; Department of General Internal Medicine and Public Health, Vanderbilt University Medical Center, Nashville, TN, USA.
المصدر: Journal of community health [J Community Health] 2023 Dec; Vol. 48 (6), pp. 919-925. Date of Electronic Publication: 2023 Jun 07.
نوع المنشور: Journal Article; Research Support, N.I.H., Extramural
اللغة: English
بيانات الدورية: Publisher: Springer Country of Publication: Netherlands NLM ID: 7600747 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1573-3610 (Electronic) Linking ISSN: 00945145 NLM ISO Abbreviation: J Community Health Subsets: MEDLINE
أسماء مطبوعة: Publication: Amsterdam : Springer
Original Publication: New York, Human Sciences Press.
مواضيع طبية MeSH: Student Run Clinic* , Prescription Drugs*, Humans ; United States ; Ambulatory Care Facilities ; Drug Costs ; Medically Uninsured ; Cost Savings
مستخلص: High costs make many medications inaccessible to patients in the United States. Uninsured and underinsured patients are disproportionately affected. Pharmaceutical companies offer patient assistance programs (PAPs) to lower the cost-sharing burden of expensive prescription medications for uninsured patients. PAPs are used by various clinics, particularly oncology clinics and those caring for underserved communities, to expand patients' access to medications. Prior studies describing the implementation of PAPs in student-run free clinics have demonstrated cost-savings during the first few years of using PAPs. However, there is a lack of data regarding the efficacy and cost savings of longitudinal use of PAPs across several years. This study describes the growth of PAP use at a student-run free clinic in Nashville, Tennessee over ten years, demonstrating that PAPs can be used reliably and sustainably to expand patients' access to expensive medications. From 2012 to 2021, we increased the number of medications available through PAPs from 8 to 59 and the number of patient enrollments from 20 to 232. In 2021, our PAP enrollments demonstrated potential cost savings of over $1.2 million. Strategies, limitations, and future directions of PAP use are also discussed, highlighting that PAPs can be a powerful tool for free clinics in serving underserved communities.
(© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
References: Keehan, S. P., Cuckler, G. A., Poisal, J. A., Sisko, A. M., Smith, S. D., Madison, A. J., & Hardesty, J. C. (2020). National Health Expenditure Projections, 2019–28: Expected Rebound in prices drives rising spending growth. Health Affairs, 39(4), 704–714. https://doi.org/10.1377/hlthaff.2020.00094 . (PMID: 10.1377/hlthaff.2020.0009432207998)
Conti, R. M., Turner, A., & Hughes-Cromwick, P. (2021). Projections of US prescription drug spending and key policy implications. JAMA Health Forum, 2(1), e201613. https://doi.org/10.1001/jamahealthforum.2020.1613 . (PMID: 10.1001/jamahealthforum.2020.161336218435)
Cohen, R. A., Boersma, P., & Vahratian, A. (2019). Strategies Used by Adults Aged 18–64 to Reduce Their Prescription Drug Costs, 2017 (National Center for Health Statistics Data Brief No. 333). Centers for Disease Control and Prevention. Retrieved from https://www.cdc.gov/nchs/data/databriefs/db333-h.pdf.
Herkert, D., Vijayakumar, P., Luo, J., Schwartz, J. I., Rabin, T. L., DeFilippo, E., & Lipska, K. J. (2019). Cost-related insulin underuse among patients with diabetes. JAMA Internal Medicine, 179(1), 112–114. https://doi.org/10.1001/jamainternmed.2018.5008 . (PMID: 10.1001/jamainternmed.2018.500830508012)
Ghosh, A., Simon, K., & Sommers, B. D. (2019). The Effect of Health insurance on prescription drug use among low-income adults:Evidence from recent Medicaid expansions. Journal of Health Economics, 63, 64–80. https://doi.org/10.1016/j.jhealeco.2018.11.002 . (PMID: 10.1016/j.jhealeco.2018.11.00230458314)
Myerson, R., Lu, T., Tonnu-Mihara, I., & Huang, E. S. (2018). Medicaid Eligibility Expansions May address gaps in Access to Diabetes Medications. Health Affairs, 37(8), 1200–1207. https://doi.org/10.1377/hlthaff.2018.0154 . (PMID: 10.1377/hlthaff.2018.015430080463)
Pellegrin, M. S. (2020, October 1). 2019 Census Data on Health Insurance Coverage in Tennessee. The Sycamore Institute. Retrieved from https://www.sycamoreinstitutetn.org/2019-health-insurance-coverage/.
Howard, D. H. (2014). Drug companies’ patient-assistance programs — helping patients or profits? New England Journal of Medicine, 371(2), 97–99. https://doi.org/10.1056/NEJMp1401658 . (PMID: 10.1056/NEJMp140165825006717)
Fendrick, A. M., & Buxbaum, J. D. (2019). Precision medicines need precision patient assistance programs. The American Journal of Managed Care, 25(7), 317–318. (PMID: 31318503)
Duke, K. S., Raube, K., & Lipton, H. L. (2005). Patient-assistance programs: Assessment of and use by safety-net clinics. American journal of health-system pharmacy: AJHP: official journal of the American Society of Health-System Pharmacists, 62(7), 726–731. https://doi.org/10.1093/ajhp/62.7.726 . (PMID: 10.1093/ajhp/62.7.72615790800)
Yezefski, T., Schwemm, A., Lentz, M., Hone, K., & Shankaran, V. (2018). Patient assistance programs: A valuable, yet imperfect, way to ease the financial toxicity of cancer care. Seminars in Hematology, 55(4), 185–188. https://doi.org/10.1053/j.seminhematol.2017.07.004 . (PMID: 10.1053/j.seminhematol.2017.07.00430502845)
Johnson, P. E. (2006). Patient assistance programs and patient advocacy foundations: Alternatives for obtaining prescription medications when insurance fails. American journal of health-system pharmacy: AJHP: official journal of the American Society of Health-System Pharmacists, 63(21 Suppl 7), S13–17. https://doi.org/10.2146/ajhp060464 . (PMID: 10.2146/ajhp06046417057055)
How GoodRx Works. (n.d.). GoodRx. Retrieved March 28 (2023). from https://www.goodrx.com/how-goodrx-works.
Chow, N., Snitman, A., Rafael, J., Bui, S., Bennett, K., & Prabhu, F. (2022). Cost savings analysis of prescription assistance programs at a student-run free clinic. Proceedings (Baylor University Medical Center), 35(3), 319–321. https://doi.org/10.1080/08998280.2021.2022064 . (PMID: 10.1080/08998280.2021.202206435518798)
Sarrafizadeh, M., Waite, N. M., Hobson, E. H., & Migden, H. (2004). Pharmacist-facilitated enrollment in medication assistance programs in a private ambulatory care clinic. American journal of health-system pharmacy: AJHP: official journal of the American Society of Health-System Pharmacists, 61(17), 1816–1820. https://doi.org/10.1093/ajhp/61.17.1816 . (PMID: 10.1093/ajhp/61.17.181615462253)
Clarkson, E. B., Linley, A., Frank, J. S., & Selleck, C. S. (2016). The implementation of a patient assistance program in a free clinic setting: A Case Report. Journal of Health Care for the Poor and Underserved, 27(3), 1183–1191. https://doi.org/10.1353/hpu.2016.0148 . (PMID: 10.1353/hpu.2016.014827524760)
Lancet (London, England), 399(10321), 259–269. https://doi.org/10.1016/S0140-6736(21)01640-8.
Annals of Internal Medicine, 175(6), 851–861. https://doi.org/10.7326/M21-4284.
BMJ (Clinical research ed.), 372, m4573. https://doi.org/10.1136/bmj.m4573.
Wilson, P. A., Sack, D. E., González Peña, T., Lloyd, M. C., & McPheeters, M. L. (2022). A cross-sectional study of disparities in Screening Guideline Concordance within a Student-Run Clinic. Journal of Community Health, 47(5), 759–764. https://doi.org/10.1007/s10900-022-01105-4 . (PMID: 10.1007/s10900-022-01105-4356789579178321)
Dickman, S. L., Himmelstein, D. U., & Woolhandler, S. (2017). Inequality and the health-care system in the USA. Lancet (London England), 389(10077), 1431–1441. https://doi.org/10.1016/S0140-6736(17)30398-7 . (PMID: 10.1016/S0140-6736(17)30398-728402825)
Erickson, S. M., Outland, B., Joy, S., Rockwern, B., Serchen, J., Mire, R. D., & Goldman, J. M. (2020). Envisioning a better U.S. Health Care System for all: Health Care Delivery and Payment System Reforms. Annals of Internal Medicine, 172(2_Supplement), S33–S49. https://doi.org/10.7326/M19-2407 . (PMID: 10.7326/M19-240731958802)
معلومات مُعتمدة: F30 MH123219 United States MH NIMH NIH HHS; T32 GM007347 United States GM NIGMS NIH HHS
فهرسة مساهمة: Keywords: Community Outreach; Medication Assistance; Student-Run Free Clinic; Underserved communities; Uninsured patients
المشرفين على المادة: 0 (Prescription Drugs)
تواريخ الأحداث: Date Created: 20230607 Date Completed: 20231023 Latest Revision: 20231202
رمز التحديث: 20231215
DOI: 10.1007/s10900-023-01240-6
PMID: 37284916
قاعدة البيانات: MEDLINE
الوصف
تدمد:1573-3610
DOI:10.1007/s10900-023-01240-6