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Medicare News

Medicare Does Not Free Some Seniors from Need to Skip High Priced Heart Drugs

Cost of heart drugs makes patients skip pills, putting themselves at risk, says Mayo Clinic study

March 30, 2011 - For more than 5 million Americans with heart failure, a critical step to better health is taking the medications they're prescribed. But many patients, including senior citizens on Medicare, fail to do so, putting themselves at greater risk of hospitalization and even death. In a study appearing in the April issue of Mayo Clinic Proceedings, Mayo Clinic researchers found the drugs' cost is one of the biggest deterrents.

"We found patients weren't filling their prescriptions because of the expense," says Shannon Dunlay, M.D., Mayo Clinic cardiologist and lead author.

 

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The study recruited patients from Olmsted County, Minn., and tracked their pharmacy records. Previous studies looked only at electronic prescription claims data, possibly missing drugs purchased with cash or not covered by insurance, Dr. Dunlay says.

The 209 patients in the study, ages 60 to 86, were asked how often they missed doses or didn't take drugs at all, and why.

Researchers found -
   > Younger patients were slightly more likely to skip certain heart medications than older patients and,
   > Men were less likely than women to stick to certain drug regimens.

 Among patients who did a poor job following prescriptions, financial concern was the main reason:
   > 46 percent reported that they had stopped taking statins or not filled a prescription because of cost, and
   > 23 percent acknowledged skipping doses to save money.

Although 77 percent of patients in the study were eligible for Medicare, medication costs were still an important issue for some of them.

Dr. Dunlay emphasizes that heart failure patients worried about medication costs should tell their physicians. There often are lower-cost alternatives, she says.

Notes:

A peer-reviewed journal, Mayo Clinic Proceedings publishes original articles and reviews dealing with clinical and laboratory medicine, clinical research, basic science research and clinical epidemiology. Mayo Clinic Proceedings is published monthly by Mayo Foundation for Medical Education and Research as part of its commitment to the medical education of physicians. The journal has been published for more than 80 years and has a circulation of 130,000 nationally and internationally. Articles are available online at www.mayoclinicproceedings.com.

About Mayo Clinic

Mayo Clinic is a nonprofit worldwide leader in medical care, research and education for people from all walks of life. For more information, visit www.mayoclinic.org/about/ and www.mayoclinic.org/news.

 

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