From the state of the economy to geographic region or patient income level, many correlations can be found in prescription-drug utilization trends. Earlier this month, Express Scripts researchers presented findings from utilization-related studies at the 18th annual meeting of the International Society for Pharmacoeconomics and Outcomes Research. Age, Income and Utilization In the first study, Express Scripts researchers looked at prescription-drug use from 2010 to 2012 to determine whether age and income level affect prescription-drug utilization. The study found that among a commercially insured population with equal access to prescription-medication coverage utilization varies among age and income brackets. The study showed that for children and young adults up to age 35, prescription-drug use increased with income. For those age 35 and older, use decreased as income increased. Overall growth in utilization from 2010 to 2012 was higher in the lower-income brackets, suggesting that the recession of 2007-2008 might have taken a relatively greater toll on the household budgets of lower-income groups. Utilization Levels Off Another Express Scripts study looked at emerging trends in prescription-drug use among beneficiaries with private insurance. The study showed that after nearly a decade of steady growth, per-member-per-year utilization has leveled off over the past six years among those with private or commercial health insurance coverage. Express Scripts research indicates three reasons for this: Baby boomers started becoming eligible for Medicare and were no longer covered by private insurance.
- Following the baby boomer generation, fewer people enter middle age each year, when the use of chronic medication becomes more common.
- The portion of labor union members among Americans covered by private health insurance has steadily declined.
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