Studies Paint Nuanced Picture of Insulin Out-of-Pocket Costs

Medicare enrollees this fall will be able to sign up for prescription plans that cap copayments for insulin at $35 a month. A recent Kaiser Family Foundation analysis shows that average annual out-of-pocket spending on insulin among Medicare Part D enrollees without low-income subsidies (LIS) increased from $324 in 2007 to $580 in 2017. Meanwhile, a new study in JAMA Internal Medicine found that insulin accounted for just 18% of all out-of-pocket spending among privately insured patients with type 1 diabetes in 2018 — and accounted for less out-of-pocket spending than diabetes-related supplies.

© 2024 MMIT
Jinghong Chen

Jinghong Chen Reporter

Jinghong has been producing infographics and data stories on employer-sponsored insurance, public health insurance programs and prescription drug coverage for AIS Health’s Health Plan Weekly and Radar on Drug Benefits since 2018. She also manages AIS Health’s annual executive compensation database for top insurers and Blue Cross and Blue Shield affiliates. Before joining AIS Health, she interned at WBEZ, Al Jazeera English and The New York Times Chinese. She graduated from Missouri School of Journalism with a focus on data journalism and international reporting.

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