Currently, the Medicare home health benefit does not impose a copayment
on its beneficiaries, but many in Congress and the administration are weighing the possibility of saddling a vulnerable population with additional out-of-pocket costs.
Much of the evidence of copayment
impacts on medication adherence reflects an average effect in a population.
Furthermore, there is concern that fraud has been creeping into the system, and the commission hopes a copayment
would limit such activity.
Major Finding: Eliminating the copayment
for statin drugs led to a 3.
Trivedi noted that older patients often have increased health care expenses, which can make even a small copayment
a substantial financial deterrent.
The Home and Community Services Copayment
Equity Act of 2007 would ensure that qualified assisted living residents and dual-eligible recipients who live in other home-and community-based settings receive the same relief from Medicare Part D co-payments that nursing home residents receive.
The association urged Congress to reintroduce "The Home and Community Services Copayment
Equity Act" (bill S.
In addition, questions addressed specific health care needs (both prior to and during incarceration) and assessments of the copayment
system implemented in the prisons (Ammar and Weaver, 2005).
By forcing the cost of medical expenses, including potentially higher out-of-pocket copayment
, coinsurance, and deductible expenses, back onto parents are we unwittingly inviting increased litigation to recover these expenses?
GAO found that use of a copayment
methodology in 2003 that differed from the copayment
methodology in 2002 has resulted in inaccurate 2003 copayment
amounts for 75 APCs.
As a result, major news organizations have developed stories that feature consumers complaining about having to pay the full over-the-counter price for Claritin or a higher copayment
for prescription allergy drugs.
Actuarial data show a $5 increase in an office visit copayment
(from $5 to $10), for example, can reduce the number of office visits by 25% to 30%.