Access barriers
to medication have been a persistent challenge in care for the poor in the U.S.
According to a study funded by the Commonwealth Fund
and the Henry J. Kaiser Family Foundation, twenty-six
percent of the elderly did not take medication as prescribed due to a cost
barrier.
The Medicare Part
D outpatient prescription drug program, aiming to reduce access barriers to
medication use, was seen to have increased medication utilization in the
general Medicare population.
However, for
those high-need patients with high-cost disease, multiple morbidities, and
disabilities, access to medications has not been shown to improve after the
implementation of the Medicare Part D.
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