Insulin Out‐of‐Pocket Spending Caps and Employer‐Sponsored Insurance: Changes in Out‐of‐Pocket and Total Costs for Insulin and Healthcare
Our findings suggest early caps had modest effects on out-of-pocket spending among fully insured insulin users, with larger savings for those at the top of the spending distribution and no total cost increases. Policy effects may be greater than observed; they likely lag implementation and develop over time.
Authors
- Stacie B. Dusetzina (ORCID: https://orcid.org/0000-0002-3907-9196)
- Alvin C. Powers (ORCID: https://orcid.org/0000-0003-1941-5786)
- Khrysta Baig (ORCID: https://orcid.org/0000-0002-2318-2308)
- Carrie Fry (ORCID: https://orcid.org/0000-0003-0661-847X)
- Melinda Beeuwkes Buntin
Institutions
- Johns Hopkins University (US)
- Vanderbilt University (US)
- VA Tennessee Valley Healthcare System (US)
- Vanderbilt Health (US)
- Vanderbilt University Medical Center (US)
Publication Details
- Journal
- Health Services Research
- Published
- 2025-06-17
- DOI
- https://doi.org/10.1111/1475-6773.14656
- Citations
- 2
- Primary Topic
- Diabetes Management and Research
- Type
- article
- Field-Weighted Citation Impact
- 2.59
Funders
- Commonwealth Fund
- Vanderbilt University
- Arnold Ventures
- Vanderbilt Diabetes Research and Training Center, Vanderbilt University Medical Center
- National Institute of Diabetes and Digestive and Kidney Diseases