Patient Out-of-Pocket Assistance in Medicare Part D: Direct and Indirect Healthcare Savings
SummaryAvalere examines the effect of foundation-sponsored financial assistance on out-of-pocket costs and federal spending.
Beneficiaries enrolled in Medicare Part D, the program’s prescription drug benefit, who have high drug costs may face significant out-of-pocket expenses. Foundations like Patient Services, Inc. (PSI), provide financial assistance for premiums and cost-sharing, which can help reduce Part D medication costs for beneficiaries. Avalere examined the impact of foundation-sponsored financial assistance on patient out-of-pocket costs and federal government spending. Our analysis finds that by reducing patient out-of-pocket costs, foundation assistance can increase the number of prescriptions that patients fill, improving access and adherence, and can lead to reduced spending on medical services covered under Part A and B of the program, creating net savings for the federal government.
Access our analysis here.
Funding for this research was provided by Patient Services, Inc. Avalere Health retained full editorial control.
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