Featured Research

from universities, journals, and other organizations

Eliminating copayments improves adherence, reduces adverse events in nonwhite patients

Date:
May 5, 2014
Source:
Brigham and Women's Hospital
Summary:
Lowering copayments for cardiovascular medications results in better adherence and outcomes among all patients, research shows. But until now, little was known about whether lowering copayments could improve known disparities in cardiovascular care. New research finds that lowering copayments for medications following a heart attack could have a significant impact on reducing the racial and ethnic disparities that exist in cardiovascular disease.

Research demonstrates that lowering copayments for cardiovascular medications results in better adherence and outcomes among all patients, but until now, little was known about whether lowering copayments could improve known disparities in cardiovascular care. New research finds that lowering copayments for medications following a heart attack could have a significant impact on reducing the racial and ethnic disparities that exist in cardiovascular disease.

These findings are published in the May issue of Health Affairs.

"African Americans and Hispanics with cardiovascular disease are up to 40 percent less likely than whites to receive secondary prevention therapies, such as aspirin and beta-blockers," said Niteesh Choudhry, MD, PhD, lead study author and associate physician in the Division of Pharmacoepidemiology at Brigham and Women's Hospital (BWH) and associate professor at Harvard Medical School. "Our research demonstrates that not only does eliminating medication copayments following a heart attack positively impact the disparity we know exists in cardiovascular care and improve outcomes for nonwhite patients, it also has the potential to dramatically reduce healthcare spending for this high-risk group."

Researchers analyzed self-reported race and ethnicity data for participants in the Post-Myocardial Infarction Free Rx Event and Economic Evaluation (MI FREEE) trial, and found that rates of medication adherence were significantly lower, and rates of adverse clinical outcomes -- readmission for a major vascular event or coronary revascularization -- were significantly higher, for nonwhite patients than for white patients.

Researchers report that providing full drug coverage (no copayment) increased medication adherence in both groups. Among nonwhite patients, it also reduced the rates of major vascular events or revascularization by 35 percent and reduced total health care spending by 70 percent. Interestingly, providing full coverage had no effect on clinical outcomes and costs for white patients.

"As part of our ongoing efforts to promote racial and ethnic equality, we wanted to further explore whether financial responsibility resulted in different health outcomes based on race or ethnicity. This important level of detail helps us design products and services that more effectively meet our members' health needs," said Wayne Rawlins, MD, national medical director for Racial and Ethnic Equality Initiatives at Aetna and co-author of the study.


Story Source:

The above story is based on materials provided by Brigham and Women's Hospital. Note: Materials may be edited for content and length.


Journal Reference:

  1. N. K. Choudhry, K. Bykov, W. H. Shrank, M. Toscano, W. S. Rawlins, L. Reisman, T. A. Brennan, J. M. Franklin. Eliminating Medication Copayments Reduces Disparities In Cardiovascular Care. Health Affairs, 2014; 33 (5): 863 DOI: 10.1377/hlthaff.2013.0654

Cite This Page:

Brigham and Women's Hospital. "Eliminating copayments improves adherence, reduces adverse events in nonwhite patients." ScienceDaily. ScienceDaily, 5 May 2014. <www.sciencedaily.com/releases/2014/05/140505211415.htm>.
Brigham and Women's Hospital. (2014, May 5). Eliminating copayments improves adherence, reduces adverse events in nonwhite patients. ScienceDaily. Retrieved July 30, 2014 from www.sciencedaily.com/releases/2014/05/140505211415.htm
Brigham and Women's Hospital. "Eliminating copayments improves adherence, reduces adverse events in nonwhite patients." ScienceDaily. www.sciencedaily.com/releases/2014/05/140505211415.htm (accessed July 30, 2014).

Share This




More Health & Medicine News

Wednesday, July 30, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Health Insurers' Profits Slide

Health Insurers' Profits Slide

Reuters - Business Video Online (July 30, 2014) Obamacare-related costs were said to be behind the profit plunge at Wellpoint and Humana, but Wellpoint sees the new exchanges boosting its earnings for the full year. Fred Katayama reports. Video provided by Reuters
Powered by NewsLook.com
Concern Grows Over Worsening Ebola Crisis

Concern Grows Over Worsening Ebola Crisis

AFP (July 30, 2014) Pan-African airline ASKY has suspended all flights to and from the capitals of Liberia and Sierra Leone amid the worsening Ebola health crisis, which has so far caused 672 deaths in Guinea, Liberia and Sierra Leone. Duration: 00:43 Video provided by AFP
Powered by NewsLook.com
At Least 20 Chikungunya Cases in New Jersey

At Least 20 Chikungunya Cases in New Jersey

AP (July 30, 2014) At least 20 New Jersey residents have tested positive for chikungunya, a mosquito-borne virus that has spread through the Caribbean. (July 30) Video provided by AP
Powered by NewsLook.com
Generics Eat Into Pfizer's Sales

Generics Eat Into Pfizer's Sales

Reuters - Business Video Online (July 29, 2014) Pfizer, the world's largest drug maker, cut full-year revenue forecasts because generics could cut into sales of its anti-arthritis drug, Celebrex. Fred Katayama reports. Video provided by Reuters
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

    Environment News

    Technology News



      Save/Print:
      Share:

      Free Subscriptions


      Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

      Get Social & Mobile


      Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

      Have Feedback?


      Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
      Mobile: iPhone Android Web
      Follow: Facebook Twitter Google+
      Subscribe: RSS Feeds Email Newsletters
      Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins