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. 2021 Jan 1;175(1):90-92.
doi: 10.1001/jamapediatrics.2020.1065.

Potential Change in Insulin Out-of-Pocket Spending Under Cost-Sharing Caps Among Pediatric Patients With Type 1 Diabetes

Kao-Ping Chua  1 , Joyce M Lee  1   2 , Rena M Conti  3
Affiliations

Potential Change in Insulin Out-of-Pocket Spending Under Cost-Sharing Caps Among Pediatric Patients With Type 1 Diabetes

Kao-Ping Chua et al. JAMA Pediatr. .

Abstract

This cross-sectional study estimates the potential change in insulin out-of-pocket spending among privately insured children and young adults with type 1 diabetes if national caps were implemented.

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Conflict of interest statement

Conflict of Interest Disclosures: Dr Lee reports serving as a consultant for the Type 1 Diabetes Exchange, receiving grant funding from Lenovo, and serving on the medical advisory board of GoodRx. No other disclosures were reported.

Figures

Figure.
Figure.. Potential Change in Insulin Out-of-Pocket (OOP) Spending Under Cost-Sharing Caps Among Pediatric Patients With Type 1 Diabetes Overall and by High-Deductible Health Plan (HDHP) Enrollment
Data derived from the 2018 IBM MarketScan Commercial Database.
See this image and copyright information in PMC

References

    1. Biniek JF, Johnson W Spending on individuals with type 1 diabetes and the role of rapidly increasing insulin prices. Accessed January 7, 2020. https://www.healthcostinstitute.org/research/publications/entry/spending...
    1. Cigna and Express Scripts introduce patient assurance program to cap out of pocket costs at $25 per 30-day insulin prescription. News release. Cigna. April 3, 2019. Accessed January 7, 2020. https://www.cigna.com/newsroom/news-releases/2019/cigna-and-express-scri...
    1. Reduce Insulin Prices, HB19-1216, 72nd General Assembly (Col 2019). May 22, 2019. Accessed January 7, 2020. https://leg.colorado.gov/bills/hb19-1216
    1. IBM Watson Health Solution brief: IBM MarketScan Research Databases. Accessed February 8, 2020. https://www.ibm.com/downloads/cas/4QD5ADRL
    1. Board of Governors of the Federal Reserve System Report on the economic well-being of U.S. households in 2018. Accessed May 20, 2020. https://www.federalreserve.gov/publications/files/2018-report-economic-w...

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