This prescription drug tool didn’t result in Medicare Advantage savings: Study

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Tools that allow providers to see prescription cost estimates at the time of prescribing did not have any effect on cost, a study published July 3 in JAMA Network Open found. 

The cohort study included 2.8 million Medicare Advantage beneficiaries at a national insurer. Researchers compared differences in prescription drug spending and fills in the year after practices adopted a real time prescription benefit drug tool. 

Here are three things to know: 

  1. The researchers found no significant difference between out-of-pocket spending or total prescription costs per beneficiary after their providers implemented real-time prescription benefit tools. 
  2. Real-time prescription benefit tools did not increase the number of prescriptions filled via mail-order. 
  3. The design of real-time prescription benefit tools with electronic health records may have discouraged clinicians from using the option, the researchers wrote. The tool in the study required clinicians to click a dropdown box to view cost information and alternatives. 

The findings “highlight the importance of leveraging the design of price transparency tools like [real-time prescription benefits] to reduce barriers to accessing the information,” the authors concluded. 

The study was conducted by researchers at the University of Chicago Booth School of Business, Boston-based Harvard Medical School and Humana. 

Read the full report here

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