Study: How Accurate Are MD's Estimates of Out-of-Pocket Rx Costs?

1. 52% of physicians accurately estimated costs before the deductible was met.
2. 62% accurately used coinsurance information.
3. 61% accurately used copay information.
4. 57% accurately estimated costs once the out-of-pocket maximum was met.
5. Only 21% of physicians answered all 4 questions correctly.

Notes: From an article entitled, "Accuracy of Physician Estimates of Out-of-Pocket Costs for Medication Filling," by Caroline E. Sloan, MD, MPH; Lorena Millo, BA; Sophia Gutterman, BA; et. al. This survey study of 371 primary care physicians, gastroenterologists, and rheumatologists sought to determine whether physicians can accurately estimate out-of-pocket expenses when they are given all of the necessary information about a drug’s price and a patient’s insurance plan.
Source: JAMA Network Open, November 5, 2021
Source URL: https://jamanetwork.com/journals/jamanetworkopen/fullarticle...

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