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- W2216730086 abstract "Medicare Part D is health insurance for people who are either disabled or over 65 years old or suffer from End Stage Renal Disease. It provides coverage for outpatient prescription drugs and is a departure from the traditional Medicare program in which the benefits are uniform. Coverage has a minimum drug formulary packaged in standard plans or actuarially equivalent plans that offers varying additional benefits. Objective: (1) to examine the effects of coverage on utilization of select antipsychotic drugs: olanzapine, quetiapine, risperidone, and haloperidol, (2) to understand out-of-pocket expenditure patterns among beneficiaries with schizophrenic and bipolar disorders in Washington State. Design: a descriptive and analytical cross-sectional, retrospective study design that used 2008 Part D Event data (1922 unique individuals). Measurements: utilization of four antipsychotics (in number of claims and medication adherence measured in Proportion of Days Covered) and out-of-pocket expenditures before the gap-in-coverage period (pre-ICL), during the gap-in-coverage period (ICL), and post gap-in-coverage period (post-ICL). Results: Beneficiaries who experienced all three benefit phases (i.e. pre-ICL, ICL, and post-ICL) comprised a very small percentage, 1.36 percent, of the study population and generated only 141 claims. Among these beneficiaries, 70.92 percent had low PDC adherence that primarily occurred during the ICL period (35.46 percent), followed by the pre-ICL period (21.3 percent), and the post-ICL period (14.19 percent). Only 29 percent of beneficiaries who experienced all three benefit phases had high PDC, with the highest percentage (13.5 percent) occurring in the post-ICL period (13.48 percent), followed by the pre-ICL period (11.35 percent) and the ICL period (4.26 percent). Beneficiaries spent far more in average our-of-pocket expense during the gap period ($36.43) than averages in the pre-gap period and the catastrophic coverage period combined ($14.19). Non-adherent beneficiaries paid a greater average than adherent beneficiaries: low PDC beneficiaries paid an average of $27.95 and a median of $2.25, while high PDC beneficiaries paid an average of $7.50 and a median of $ 0. Conclusion: Utilization of antipsychotics is affected by the extent of Part D plan coverage beneficiaries choose and elements of Part D plans effect medication utilization differently." @default.
- W2216730086 created "2016-06-24" @default.
- W2216730086 creator A5048987216 @default.
- W2216730086 date "2014-01-01" @default.
- W2216730086 modified "2023-09-27" @default.
- W2216730086 title "Effects of Coverage on Antipsychotic Utilization among Medicare Part D Beneficiaries with Schizophrenia and Bipolar Disorders in Washington State" @default.
- W2216730086 cites W105514826 @default.
- W2216730086 cites W118013918 @default.
- W2216730086 cites W1607578860 @default.
- W2216730086 cites W1681732057 @default.
- W2216730086 cites W1712187176 @default.
- W2216730086 cites W181758959 @default.
- W2216730086 cites W1966279941 @default.
- W2216730086 cites W1970747448 @default.
- W2216730086 cites W1975314381 @default.
- W2216730086 cites W1977157006 @default.
- W2216730086 cites W1977728287 @default.
- W2216730086 cites W1978107006 @default.
- W2216730086 cites W1980216137 @default.
- W2216730086 cites W1981230560 @default.
- W2216730086 cites W1982046182 @default.
- W2216730086 cites W1988672159 @default.
- W2216730086 cites W1990930837 @default.
- W2216730086 cites W1995773098 @default.
- W2216730086 cites W1997402220 @default.
- W2216730086 cites W2002128724 @default.
- W2216730086 cites W2011100001 @default.
- W2216730086 cites W2012392700 @default.
- W2216730086 cites W2012811755 @default.
- W2216730086 cites W2015003505 @default.
- W2216730086 cites W2018742347 @default.
- W2216730086 cites W2019552205 @default.
- W2216730086 cites W2022264868 @default.
- W2216730086 cites W2022697937 @default.
- W2216730086 cites W2023872131 @default.
- W2216730086 cites W2026594324 @default.
- W2216730086 cites W2027764179 @default.
- W2216730086 cites W2028333622 @default.
- W2216730086 cites W2029485985 @default.
- W2216730086 cites W2030304459 @default.
- W2216730086 cites W2030464468 @default.
- W2216730086 cites W2031468415 @default.
- W2216730086 cites W2034282170 @default.
- W2216730086 cites W2034844362 @default.
- W2216730086 cites W2038301482 @default.
- W2216730086 cites W2042513840 @default.
- W2216730086 cites W2044648026 @default.
- W2216730086 cites W2050866544 @default.
- W2216730086 cites W2052846361 @default.
- W2216730086 cites W2057290859 @default.
- W2216730086 cites W2061254614 @default.
- W2216730086 cites W2061416385 @default.
- W2216730086 cites W2065980651 @default.
- W2216730086 cites W2066504584 @default.
- W2216730086 cites W2066698241 @default.
- W2216730086 cites W2069783301 @default.
- W2216730086 cites W2069963687 @default.
- W2216730086 cites W2070212101 @default.
- W2216730086 cites W2071499041 @default.
- W2216730086 cites W2072715880 @default.
- W2216730086 cites W2076818069 @default.
- W2216730086 cites W2081069399 @default.
- W2216730086 cites W2082795262 @default.
- W2216730086 cites W2085466160 @default.
- W2216730086 cites W2087030531 @default.
- W2216730086 cites W2087540439 @default.
- W2216730086 cites W2088219884 @default.
- W2216730086 cites W2094468393 @default.
- W2216730086 cites W2096170654 @default.
- W2216730086 cites W2096331286 @default.
- W2216730086 cites W2096915944 @default.
- W2216730086 cites W2101020724 @default.
- W2216730086 cites W2102924552 @default.
- W2216730086 cites W2105660049 @default.
- W2216730086 cites W2109124947 @default.
- W2216730086 cites W2110552981 @default.
- W2216730086 cites W2111935703 @default.
- W2216730086 cites W2115485830 @default.
- W2216730086 cites W2116153681 @default.
- W2216730086 cites W2118266455 @default.
- W2216730086 cites W2120988652 @default.
- W2216730086 cites W2122332115 @default.
- W2216730086 cites W2122480114 @default.
- W2216730086 cites W2123501084 @default.
- W2216730086 cites W2124475890 @default.
- W2216730086 cites W2125289143 @default.
- W2216730086 cites W2126311339 @default.
- W2216730086 cites W2128521145 @default.
- W2216730086 cites W2129347481 @default.
- W2216730086 cites W2131639907 @default.
- W2216730086 cites W2136649501 @default.
- W2216730086 cites W2138418531 @default.
- W2216730086 cites W2139516788 @default.
- W2216730086 cites W2141770009 @default.
- W2216730086 cites W2143189599 @default.
- W2216730086 cites W2144543402 @default.
- W2216730086 cites W2148526384 @default.
- W2216730086 cites W2152096880 @default.
- W2216730086 cites W2154729205 @default.
- W2216730086 cites W2157318351 @default.