Charitable Care Study Reveals Medication Needs of Uninsured Patients at Academic Medical Center: A Case Study on Cost-Related Medication Nonadherence and Patient Health Outcomes

Accident – Death – Obituary News : : 1. Charitable medication access programs
2. Uninsured patient medication assistance

This retrospective cohort study aimed to analyze the medication needs of uninsured patients enrolled in a charitable care program at an academic medical center. The study identified commonly prescribed medications, prescription payment methods, and the cost of prescriptions. Results showed that more than half of prescriptions were filled at external pharmacies, with the medical center covering 44% of the costs. The study highlighted a trend towards cost-conscious prescribing, with low-cost medications being preferred. The findings support the development of a charitable medication formulary to improve patient access, reduce medical center costs, and enhance quality of care. Addressing medication nonadherence among uninsured patients is crucial for improving health outcomes and reducing healthcare costs.

Uninsured patients face significant challenges when it comes to accessing necessary medications. A recent study conducted at a large academic medical center shed light on the medication needs of uninsured patients enrolled in a charitable care program. The study analyzed electronic health records and pharmacy dispensing information to identify commonly prescribed medications, where prescriptions were filled, and whether vouchers were utilized.

Patient Demographics
The study included 511 patients, with the majority being Spanish-speaking individuals. Patients ranged in age from 31 to 55 years and primarily identified as Hispanic. Interestingly, 34% of patients had emergency department encounters, and 17% were hospitalized during the study period, emphasizing the importance of access to medications for this vulnerable population.

Prescription Payment Methods
A total of 8453 prescriptions were identified, with more than half being sent to external retail pharmacies. Of the prescriptions filled at the medical center’s pharmacies, approximately 44% were covered by the charitable care program, costing the medical center $111,052. This assistance helped 148 unique patients access necessary medications.

Prescription Ordering Patterns
The study identified the 10 most frequently prescribed medications, with treatments for diabetes, cardiovascular disease, pain, anticoagulation, and hypertension being the most common. Interestingly, there was a trend towards cost-conscious prescribing, with low-cost options being preferred over more expensive therapies.

Developing a Charitable Medication Formulary
The findings of this study provide valuable insights into the development of a charitable medication formulary to support uninsured patients. By streamlining prescribing practices, reducing costs, and increasing access to medications, a charitable formulary can improve patient outcomes and reduce the total cost of care delivery.

Moving Forward
Addressing financial barriers to medication access is crucial for uninsured patients who are at higher risk of medication nonadherence. By implementing a charitable medication formulary and providing oversight of prescribing practices, academic medical centers can support guideline-based care, reduce costs, and improve patient access to necessary medications.

In conclusion, the study highlights the importance of developing sustainable mechanisms to ensure medication access for uninsured patients. By addressing financial barriers and streamlining prescribing practices, academic medical centers can improve patient outcomes and reduce the total cost of care delivery for vulnerable populations.