Becker's Healthcare December 7, 2021
Most physicians have difficulty estimating out-of-pocket medication expenses even when they have access to patients’ drug and insurance information, according to a study published in November in JAMA Network Open.
The survey provided a vignette in which a hypothetical patient was prescribed a tier 4 drug that cost $1,000 per month without insurance. With a summary of the patient’s private insurance information, physicians were asked to estimate how much the patient would have to pay when filling this medication using four types of cost-sharing: deductibles, coinsurance, copays and out-of-pocket maximums.
Of the 371 outpatient physicians included in the study, 112 (30 percent) were primary care physicians, 128 (35 percent) were gastroenterologists and 131 (35 percent) were rheumatologists.