NCBI January 22, 2019
Abstract
BACKGROUND:
Medication adherence is associated with lower health care utilization and savings in specific patient populations; however, few empirical estimates exist at the population level.
OBJECTIVE:
The main objective of this study was to apply a data-driven approach to obtain population-level estimates of the impact of medication nonadherence among Medicare beneficiaries with chronic conditions.
RESEARCH DESIGN:
Medicare fee-for-service (FFS) claims data were used to calculate the prevalence of medication nonadherence among individuals with diabetes, heart failure, hypertension, and hyperlipidemia. Per person estimates of avoidable health care utilization and spending associated with medication adherence, adjusted for healthy adherer effects, from prior literature were applied to the number of nonadherent Medicare beneficiaries.
SUBJECTS:
A 20% random sample of community-dwelling, continuously...