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Prescription drug insurance coverage and patient health outcomes: A systematic review

Author

Listed:
  • Kesselheim, A.S.
  • Huybrechts, K.F.
  • Choudhry, N.K.
  • Fulchino, L.A.
  • Isaman, D.L.
  • Kowal, M.K.
  • Brennan, T.A.

Abstract

Previous reviews have shown that changes in prescription drug insurance benefits can affect medication use and adherence. We conducted a systematic review of the literature to identify studies addressing the association between prescription drug coverage and health outcomes. Studies were included if they collected empirical data on expansions or restrictions of prescription drug coverage and if they reported clinical outcomes. We found 23 studies demonstrating that broader prescription drug insurance reduces use of other health care services and has a positive impact on patient outcomes. Coverage gaps or caps on drug insurance generally led to worse outcomes. States should consider implementing the Affordable Care Act expansions in drug coverage to improve the health of low-income patients receiving state-based health insurance.

Suggested Citation

  • Kesselheim, A.S. & Huybrechts, K.F. & Choudhry, N.K. & Fulchino, L.A. & Isaman, D.L. & Kowal, M.K. & Brennan, T.A., 2015. "Prescription drug insurance coverage and patient health outcomes: A systematic review," American Journal of Public Health, American Public Health Association, vol. 105(2), pages 17-30.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2014.302240_0
    DOI: 10.2105/AJPH.2014.302240
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    Cited by:

    1. Morgan, Steven G. & Daw, Jamie R. & Greyson, Devon & Shnier, Adrienne & Holbrook, Anne & Lexchin, Joel, 2020. "Variation in the prescription drugs covered by health systems across high-income countries: A review of and recommendations for the academic literature," Health Policy, Elsevier, vol. 124(3), pages 231-238.
    2. Guo, Elaine Xiaoyu & Sweetman, Arthur & Guindon, G. Emmanuel, 2020. "Socioeconomic differences in prescription drug supplemental coverage in Canada: A repeated cross-sectional study," Health Policy, Elsevier, vol. 124(3), pages 252-260.

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