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Are women benefiting from the Affordable Care Act? A real-world evaluation of the impact of the Affordable Care Act on out-of-pocket costs for contraceptives.
Law, A; Wen, L; Lin, J; Tangirala, M; Schwartz, J S; Zampaglione, E.
Afiliação
  • Law A; Bayer HealthCare Pharmaceuticals, Whippany, NJ, USA. Electronic address: amy.law@bayer.com.
  • Wen L; Bayer HealthCare Pharmaceuticals, Whippany, NJ, USA.
  • Lin J; Novosys Health, Green Brook, NJ, USA.
  • Tangirala M; Bayer HealthCare Pharmaceuticals, Whippany, NJ, USA.
  • Schwartz JS; Wharton School of Business, University of Pennsylvania, School of Medicine, Philadelphia, PA, USA.
  • Zampaglione E; Bayer HealthCare Pharmaceuticals, Whippany, NJ, USA.
Contraception ; 93(5): 392-7, 2016 05.
Article em En | MEDLINE | ID: mdl-26806631
OBJECTIVES: The Affordable Care Act (ACA) mandated that, starting between August 1, 2012 and July 31, 2013, health plans cover most Food and Drug Administration (FDA)-approved contraceptive methods for women without cost sharing. This study examined the impact of the ACA on out-of-pocket expenses for contraceptives. STUDY DESIGN: Women (ages 15-44years) with claims for any contraceptives in years 2011, 2012 and 2013 were identified from the MarketScan Commercial database. The proportions of women using contraceptives [including permanent contraceptives (PCs) and non-PCs: oral contraceptives (OCs), injectables, patches, rings, implants and intrauterine devices (IUDs)] in study years were determined, as well as changes in out-of-pocket expenses for contraceptives during 2011-2013. Demographics, including age, U.S. geographic region of residence and health plan type, were also evaluated. RESULTS: The number of women identified with any contraceptive usage in 2011 was 2,447,316 (mean age: 27.6years), in 2012 was 2,515,296 (mean age: 27.4years) and in 2013 was 2,243,253 (mean age: 27.4years). In 2011, 2012 and 2013, the proportions of women with any contraceptive usage were 26.3%, 26.2% and 26.9%, respectively. Over the three study years, mean total out-of-pocket expenses for PCs and non-PCs decreased from $298 to $82 and from $94 to $30, respectively. For non-PCs, mean total out-of-pocket expenses for OCs and IUDs decreased from $86 to $26 and from $83 to $20. CONCLUSIONS: Implementation of the ACA has saved women a substantial amount in out-of-pocket expenses for contraceptives. IMPLICATIONS: Mean total out-of-pocket expenses for FDA-approved contraceptives decreased approximately 70% from 2011 to 2013. Implementation of the ACA has saved women a substantial amount in out-of-pocket expenses for contraceptives. Longer-term studies, including clinical outcomes, are warranted.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Gastos em Saúde / Comportamento Contraceptivo / Anticoncepcionais Femininos / Patient Protection and Affordable Care Act Idioma: En Ano de publicação: 2016 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Gastos em Saúde / Comportamento Contraceptivo / Anticoncepcionais Femininos / Patient Protection and Affordable Care Act Idioma: En Ano de publicação: 2016 Tipo de documento: Article