Journal article

Impact of Medicare Part D on Antidepressant Treatment, Medication Choice, and Adherence Among Older Adults With Depression

Julie M Donohue, Yuting Zhang, Aiju Men, Subashan Perera, Judith R Lave, Joseph T Hanlon, Charles F Reynolds

AMERICAN JOURNAL OF GERIATRIC PSYCHIATRY | ELSEVIER SCIENCE INC | Published : 2011

Abstract

OBJECTIVES: Depression in older adults is often undertreated due, in part, to medication costs. We examined the impact of improved prescription drug coverage under Medicare Part D on use of antidepressants, medication choice, and adherence. DESIGN, SETTING AND PARTICIPANTS: Observational claims-based study of older adults with depression (ICD-9: 296.2, 296.3, 311, 300.4) continuously enrolled in a Medicare managed care plan between 2004 and 2007. Three groups with limited ($150 or $350 quarterly caps) or no drug coverage in 2004-2005 obtained Part D benefits in 2006. A comparison group had stable employer-sponsored coverage throughout. MEASUREMENTS: Any antidepressant prescription fi..

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Grants

Awarded by National Center for Research Resources, National Institutes of Health (NIH)


Awarded by Agency for Healthcare Research and Quality


Awarded by NIH


Awarded by Veterans Administration Health Services Research and Development Service


Awarded by AGENCY FOR HEALTHCARE RESEARCH AND QUALITY


Awarded by NATIONAL CENTER FOR ADVANCING TRANSLATIONAL SCIENCES


Awarded by NATIONAL CENTER FOR RESEARCH RESOURCES


Awarded by NATIONAL INSTITUTE OF MENTAL HEALTH


Awarded by NATIONAL INSTITUTE ON AGING


Funding Acknowledgements

This publication was supported by the National Center for Research Resources, National Institutes of Health (NIH) (KL2 RR-024154-04), Agency for Healthcare Research and Quality (R01HS017695), NIH grants (R34 MH082682, R01AG027017, P30AG024827, P30MH71944, T32AG021885, K07AG033174, R01AG034056), the Veterans Administration Health Services Research and Development Service (IIR-06-062), the UPMC endowment in geriatric psychiatry, and John A. Hartford Foundation.