Despite drugmakers’ claims, study finds increased drug prices hurt insured patients’ wallets

Increasing brand-name drug prices can lead to increased out-of-pocket costs for about half of commercially insured patients, according to a study published May 4 in JAMA Network Open.

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Researchers looked at pricing data for 79 brand-name drugs between 2015-2020 to assess the validity of drugmakers’ claims that wholesale drug prices do not accurately reflect the out-of-pocket costs patients will pay. 

They found that the drugs’ list prices increased by nearly 17 percent, and patients’ out-of-pocket spending increased by about 3.5 percent. 

The increases in out-of-pocket cost varied by patients’ insurance type. Patients who had fixed copayments (about half of insured Americans) were mostly unaffected by drug price increases, but out-of-pocket costs for patients with deductibles and coinsurance (the other half of insured Americans) increased by 15 percent.

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