Total and out-of-pocket expenditures for prescription drugs among older persons

Usha Sambamoorthi, Dennis Shea, Stephen Crystal

Research output: Contribution to journalArticle

43 Citations (Scopus)

Abstract

Purpose: The burden of prescription drug costs on Medicare beneficiaries has become a critical policy issue in improving the Medicare program, yet few studies have provided detailed and current information on that burden. The present study estimates total and out-of-pocket expenditures for prescription drugs and the burden of these costs in relation to income among the elderly population. We also compare spending and burden across major subgroups of the elderly population, as defined by socioeconomic and health characteristics, and we distinguish the impact of these factors by using multivariate models. Design and Methods: The study uses nationally representative data on Medicare beneficiaries from the 1997 Medicare Current Beneficiary Survey Cost and Use files. The study estimates out-of-pocket prescription drug spending and burden through ordinary least square, median, and logistic regression models with corrections for the complex survey design. Results: Our results show that in 1997, nearly 8% of the older population, more than 2.3 million people, spent greater than 10% of their income on prescription drugs. Despite pharmacy coverage, out-of-pocket cost burden fell most heavily on women and those with chronic health conditions. Burden was also higher among those with self-purchased supplemental coverage. Implications: The impact of Medicare reform proposals on these subgroups has to be carefully evaluated.

Original languageEnglish (US)
Pages (from-to)345-359
Number of pages15
JournalGerontologist
Volume43
Issue number3
DOIs
StatePublished - Jan 1 2003

Fingerprint

Prescription Drugs
Health Expenditures
Medicare
Drug Costs
Logistic Models
Population
Health
Least-Squares Analysis
Costs and Cost Analysis

All Science Journal Classification (ASJC) codes

  • Gerontology
  • Geriatrics and Gerontology

Cite this

Sambamoorthi, Usha ; Shea, Dennis ; Crystal, Stephen. / Total and out-of-pocket expenditures for prescription drugs among older persons. In: Gerontologist. 2003 ; Vol. 43, No. 3. pp. 345-359.
@article{540d8113ab864322936af9dc3952e624,
title = "Total and out-of-pocket expenditures for prescription drugs among older persons",
abstract = "Purpose: The burden of prescription drug costs on Medicare beneficiaries has become a critical policy issue in improving the Medicare program, yet few studies have provided detailed and current information on that burden. The present study estimates total and out-of-pocket expenditures for prescription drugs and the burden of these costs in relation to income among the elderly population. We also compare spending and burden across major subgroups of the elderly population, as defined by socioeconomic and health characteristics, and we distinguish the impact of these factors by using multivariate models. Design and Methods: The study uses nationally representative data on Medicare beneficiaries from the 1997 Medicare Current Beneficiary Survey Cost and Use files. The study estimates out-of-pocket prescription drug spending and burden through ordinary least square, median, and logistic regression models with corrections for the complex survey design. Results: Our results show that in 1997, nearly 8{\%} of the older population, more than 2.3 million people, spent greater than 10{\%} of their income on prescription drugs. Despite pharmacy coverage, out-of-pocket cost burden fell most heavily on women and those with chronic health conditions. Burden was also higher among those with self-purchased supplemental coverage. Implications: The impact of Medicare reform proposals on these subgroups has to be carefully evaluated.",
author = "Usha Sambamoorthi and Dennis Shea and Stephen Crystal",
year = "2003",
month = "1",
day = "1",
doi = "10.1093/geront/43.3.345",
language = "English (US)",
volume = "43",
pages = "345--359",
journal = "The Gerontologist",
issn = "0016-9013",
publisher = "Oxford University Press",
number = "3",

}

Total and out-of-pocket expenditures for prescription drugs among older persons. / Sambamoorthi, Usha; Shea, Dennis; Crystal, Stephen.

In: Gerontologist, Vol. 43, No. 3, 01.01.2003, p. 345-359.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Total and out-of-pocket expenditures for prescription drugs among older persons

AU - Sambamoorthi, Usha

AU - Shea, Dennis

AU - Crystal, Stephen

PY - 2003/1/1

Y1 - 2003/1/1

N2 - Purpose: The burden of prescription drug costs on Medicare beneficiaries has become a critical policy issue in improving the Medicare program, yet few studies have provided detailed and current information on that burden. The present study estimates total and out-of-pocket expenditures for prescription drugs and the burden of these costs in relation to income among the elderly population. We also compare spending and burden across major subgroups of the elderly population, as defined by socioeconomic and health characteristics, and we distinguish the impact of these factors by using multivariate models. Design and Methods: The study uses nationally representative data on Medicare beneficiaries from the 1997 Medicare Current Beneficiary Survey Cost and Use files. The study estimates out-of-pocket prescription drug spending and burden through ordinary least square, median, and logistic regression models with corrections for the complex survey design. Results: Our results show that in 1997, nearly 8% of the older population, more than 2.3 million people, spent greater than 10% of their income on prescription drugs. Despite pharmacy coverage, out-of-pocket cost burden fell most heavily on women and those with chronic health conditions. Burden was also higher among those with self-purchased supplemental coverage. Implications: The impact of Medicare reform proposals on these subgroups has to be carefully evaluated.

AB - Purpose: The burden of prescription drug costs on Medicare beneficiaries has become a critical policy issue in improving the Medicare program, yet few studies have provided detailed and current information on that burden. The present study estimates total and out-of-pocket expenditures for prescription drugs and the burden of these costs in relation to income among the elderly population. We also compare spending and burden across major subgroups of the elderly population, as defined by socioeconomic and health characteristics, and we distinguish the impact of these factors by using multivariate models. Design and Methods: The study uses nationally representative data on Medicare beneficiaries from the 1997 Medicare Current Beneficiary Survey Cost and Use files. The study estimates out-of-pocket prescription drug spending and burden through ordinary least square, median, and logistic regression models with corrections for the complex survey design. Results: Our results show that in 1997, nearly 8% of the older population, more than 2.3 million people, spent greater than 10% of their income on prescription drugs. Despite pharmacy coverage, out-of-pocket cost burden fell most heavily on women and those with chronic health conditions. Burden was also higher among those with self-purchased supplemental coverage. Implications: The impact of Medicare reform proposals on these subgroups has to be carefully evaluated.

UR - http://www.scopus.com/inward/record.url?scp=0038118652&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0038118652&partnerID=8YFLogxK

U2 - 10.1093/geront/43.3.345

DO - 10.1093/geront/43.3.345

M3 - Article

VL - 43

SP - 345

EP - 359

JO - The Gerontologist

JF - The Gerontologist

SN - 0016-9013

IS - 3

ER -