Comments on: More On Cost-sharing And Medication Compliance http://alignmap.com/2007/07/11/more-on-healthcare-cost-sharing-and-medication-compliance/ Beyond Compliance, Adherence, & Concordance - Supporting The Patient's Implementation Of Optimal Treatment Tue, 08 Sep 2009 01:58:51 +0000 hourly 1 http://wordpress.org/?v=3.3.1 By: Greg Scandlen http://alignmap.com/2007/07/11/more-on-healthcare-cost-sharing-and-medication-compliance/comment-page-1/#comment-2828 Greg Scandlen Thu, 12 Jul 2007 13:09:55 +0000 http://alignmap.com/2007/07/11/more-on-healthcare-cost-sharing-and-medication-compliance/#comment-2828 Thank you for the thoughtful comments. In these days when everything about health care seems to be so polarized, thoughtfulness itself is refreshing. I would be interested in learning more about your, and other clinician's, experience with different forms of cost sharing. I am wary of co-payments in part because it is the third-party payer which determines which drugs will be placed in a particular tier and their motives and methods are suspect, imo. I understand their impulse to lower spending, but that can be done with co-insurance without compromising the physician's judgment about efficacy. Greg Scandlen Thank you for the thoughtful comments. In these days when everything about health care seems to be so polarized, thoughtfulness itself is refreshing.

I would be interested in learning more about your, and other clinician’s, experience with different forms of cost sharing. I am wary of co-payments in part because it is the third-party payer which determines which drugs will be placed in a particular tier and their motives and methods are suspect, imo. I understand their impulse to lower spending, but that can be done with co-insurance without compromising the physician’s judgment about efficacy.

Greg Scandlen

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