In a first-of-its-kind study, a cohort of researchers, led by the University of Colorado Anschutz Medical Campus, evaluated the effects of state-level insulin out-of-pocket costs across states and payers and over time.
University of Colorado Anschutz Medical CampusAug 5 2024 The team found that state-level caps on insulin out-of-pocket costs do not significantly increase insulin claims for patients with Type 1 or patients using insulin to manage Type 2 diabetes. Study results could help inform policies aimed at better delivering cost-capped insulin to patients struggling with insulin affordability.
What we found was that these caps do not lead to a meaningful increase in insulin use. This is due, in part, to the focus of these caps on patients with commercial insurance coverage subject to state-level oversight. The majority of patients subject to the caps were already paying out-of-pocket costs lower than cap amounts even prior to cap implementation."
Researchers used a difference-in-differences design to evaluate out-of-pocket costs and insulin use for more than 33,000 Type 1 or insulin-using Type 2 diabetes patients enrolled in commercial insurance plans in states that both did and did not have out-of-pocket cap plans in place.
Diabetes Hospital Research Type 2 Diabetes
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State-level, out-of-pocket insulin caps do not substantially increase utilization, study findsIn a first-of-its-kind study, a cohort of researchers, led by the University of Colorado Anschutz Medical Campus, evaluated the effects of state-level insulin out-of-pocket costs across states and payers and over time.
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