People with colorectal cancer in SEER-Medicare : part D uptake, costs, and outcomes /
Limited information exists about enrollment in Part D prescription coverage by Medicare beneficiaries with cancer. Part D coverage may increase access to medicines. This study evaluated patterns of Part D uptake and costs and assessed the effects of coverage on hospitalizations and emergency departm...
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| Main Authors: | , , , |
| Format: | Electronic eBook |
| Language: | English |
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Research Triangle Park, NC :
RTI Press,
2020
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| Series: | RTI Press research report series.
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| Subjects: |
MARC
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| 100 | 1 | |a Lines, Lisa M., |e author. |0 n 2019180148 | |
| 245 | 1 | 0 | |a People with colorectal cancer in SEER-Medicare : |b part D uptake, costs, and outcomes / |c Lisa M. Lines, Florence K. L. Tangka, Sonja Hoover, and Sujha Subramanian. |
| 264 | 1 | |a Research Triangle Park, NC : |b RTI Press, |c May 2020. | |
| 300 | |a 1 online resource (1 PDF file (ii, 9 pages)) : |b illustrations. | ||
| 336 | |a text |b txt |2 rdacontent | ||
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| 490 | 1 | |a RTI Press research report series | |
| 500 | |a "RTI Press publication RR-0037-2005." | ||
| 504 | |a Includes bibliographical references. | ||
| 520 | 3 | |a Limited information exists about enrollment in Part D prescription coverage by Medicare beneficiaries with cancer. Part D coverage may increase access to medicines. This study evaluated patterns of Part D uptake and costs and assessed the effects of coverage on hospitalizations and emergency department (ED) use among people with colorectal cancer (CRC). We analyzed Surveillance, Epidemiology, and End Results (SEER)-Medicare linked data on fee-for-service (FFS) Medicare beneficiaries with at least 36 months of follow-up who were diagnosed with CRC at any point from January 2007 through December 2010, and a matched cohort of beneficiaries without cancer. Dual (Medicare/Medicaid) enrollees were excluded because they are automatically enrolled in Part D. Among beneficiaries with CRC (n = 12,774), 39 percent had complete Part D coverage, defined as coverage in the diagnosis year and 2 subsequent years; the rate was 38 percent in the matched comparison cohort (P = .119). Among those with complete Part D coverage, there was no significant difference in annual prescription drug costs between people with CRC ($3,157, 95% confidence interval [CI]: $3,098-$3,216) and without ($3,113, 95% CI: $3,054-$3,172). Among people with CRC, odds of ED use ranged from unchanged to marginally higher for those with no or partial Part D coverage, (adjusted odds ratio: 1.09, 95% CI: 1.00-1.18), compared with those with complete Part D coverage. Lack of continuous Part D coverage was associated with more ED use among Medicare FFS beneficiaries with CRC in 2007-2013. Among people with Part D coverage, prescription drug costs varied little between those with CRC and matched beneficiaries without cancer. | |
| 530 | |a Also issued in print. | ||
| 588 | |a Description based on online resource; title from PDF title page (viewed April 21, 2021). | ||
| 650 | 1 | 2 | |a Colorectal Neoplasms |x economics. |0 D015179Q000191 |
| 650 | 2 | 2 | |a Medicare Part D |x economics. |0 D054524Q000191 |
| 650 | 2 | 2 | |a Prescription Fees. |0 D011306 |
| 650 | 2 | 2 | |a Data Interpretation, Statistical. |0 D003627 |
| 700 | 1 | |a Tangka, F. K., |e author. |0 no 00101118 | |
| 700 | 1 | |a Hoover, Sonja, |e author. |0 n 99801868 | |
| 700 | 1 | |a Subramanian, Sujha, |e author. |0 n 2019180156 | |
| 710 | 2 | |a RTI International, |e issuing body. |0 n 2004094482 | |
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| 856 | 4 | 0 | |t 0 |u http://www.ncbi.nlm.nih.gov/books/NBK565442/ |y Full text |
