More adults with private insurance than those on Medicare couldn't afford their drugs pre-pandemic; those with low income and patients with multiple chronic conditions also went without.
The nationally representative data came from 2018-2019, before the beginning of the COVID-19 pandemic. The Urban Institute’s researchers used information from the Medical Expenditure Panel Survey done by the Agency for Healthcare Research and Quality.
Among Medicare beneficiaries and privately insured adults, unmet prescription drug needs were most common among women, people with low incomes, and people with multiple chronic conditions. More than 6 million adults with Medicare or private insurance delayed getting or went without needed medications because of the cost.
A larger portion of Medicare members with multiple chronic conditions had trouble paying for their prescription drugs than those with no conditions or just one condition , the study found. Of nonelderly adults with private insurance, 5.4% with multiple conditions reported not being able to afford their drugs, versus 1.5% who had no conditions and 2.3% who had one condition.Overall, prescription drugs accounted for up to 14% of national health spending in the study period, the study said.
Out-of-pocket spending on prescription drugs exceeded 1% of household income among 25.4% of Medicare beneficiaries, and 3.4% spent more than 10% of their household income on drugs. Personal spending on drugs exceeded $500 for 21.5% of this cohort; 8.9% of Medicare members spent over $1,000; and 2.7%, over $2,000.
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