New Study Shows Out-of-Pocket Spending Decreased Significantly After States Cap the Copay


According to a new study in the New England Journal of Medicine (NEJM), three states have helped their residents save money by capping out-of-pocket costs on specialty medications without increasing health plans’ spending. Delaware, Maryland, and Louisiana all passed laws that capped drug copays at $150 for specialty medications. As a result, patients’ out-of-pocket spending was reduced by an average of $351 per month. There was also no change in health plan spending per person, which was used as a proxy for future changes in premiums. The findings of the study suggest that these cap-the-copay bills can have a meaningful impact on consumers without raising overall health care costs. Read more here.


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