Cross-sectional study

Out-of-Pocket Drug Costs for Medicare Beneficiaries With Cardiovascular Risk Factors Under the Inflation Reduction Act

J Am Coll CardiolPublished

  • Cross-sectional study

Authors' conclusion

More than 1 million older adults with CV risk factors and/or conditions spend >$2,000/year out-of-pocket on prescription drugs and will likely benefit from the Inflation Reduction Act's cap, with estimated total out-of-pocket savings of $1.7 billion/year, while another 1.3 million will also become newly eligible for LIS.

Study context

Population
Medicare beneficiaries aged ≥65 years with ≥1 cardiovascular (CV) risk factor/condition, 2016–2019annual estimate, ± 855,653 (mean ± SE)
Participants
34,056,335 beneficiaries
Outcome
Beneficiaries with out-of-pocket prescription drug costs >$2,000/year and their potential savings under the Inflation Reduction Act's spending cap

Main finding

As reported in the abstract

Out-of-pocket drug costs >$2,000/year

Beneficiaries with out-of-pocket drug costs >$2,000/year (mean ± SE)

1,020,484 ± 77,055

Estimated median out-of-pocket drug savings under the Inflation Reduction Act

$855/year

Total annual savings (± SE)

$1,723,031,307 ± $91,150,609

Observational data: associations, not effects.

Further findings

Outcomeadjusted OR (95% CI)
Out-of-pocket drug costs >$2,000/year by age0.67 (0.49–0.93)

Out-of-pocket drug costs >$2,000/year by age

Lower likelihood for low-income vs higher-income adults

Newly eligible for low-income subsidies (LIS) under the Inflation Reduction Act

Beneficiaries newly eligible for LIS
1,289,861

Original publication

Out-of-Pocket Drug Costs for Medicare Beneficiaries With Cardiovascular Risk Factors Under the Inflation Reduction Act. J Am Coll Cardiol. Published 20 February 2023. doi:10.1016/j.jacc.2023.02.002

Summarised from the published abstract; every number is checked against it