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Evidence to Practice |

Impact of Cost-Sharing Mechanisms on Patient-Borne Medication Costs ONLINE FIRST

David J. T. Campbell, MD, MSc1,2; Lesley J. J. Soril, MSc2,3; Fiona Clement, PhD2,3
[+] Author Affiliations
1Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
2Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
3Health Technology Assessment Unit, O’Brien Institute for Public Health, University of Calgary, Calgary, Alberta, Canada
JAMA Intern Med. Published online September 12, 2016. doi:10.1001/jamainternmed.2016.5445
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This simulated analysis of cost-sharing in member nations of the Organisation for Economic Co-operation and Development found a large variation in costs borne by patients, often dependent on age, comorbidities, and socioeconomic status.

Article InformationCorresponding Author: Fiona Clement, PhD, Health Technology Assessment Unit, Department of Community Health Sciences, University of Calgary, TRW 3D12, 3330 Hospital Dr NW, Calgary, AB T2N 1N4, Canada (fclement@ucalgary.ca).

Published Online: September 12, 2016. doi:10.1001/jamainternmed.2016.5445.

Conflict of Interest Disclosures: None reported.

Additional Contributions: We thank Braden J. Manns, MD, MSc, and Eldon Spackman, PhD, from the University of Calgary, for contributions in developing this manuscript. They were not compensated for their assistance.

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Variation in Patient-Borne Out-of-Pocket Costs Across Drug Plans

Drug prices were retrieved in June 2016. BCBS indicates Blue Cross Blue Shield; OOP, out of pocket; Rx, prescription.

aNot exclusive to pharmaceutical coverage: includes physician and hospital care coverage (excludes vision and dental).

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