Table 3. Concerns Regarding Real-time Benefit Tool Use Overall and by Cost-Related Nonadherence Status.
Concern | No. (weighted %)a | P value | ||
---|---|---|---|---|
All | Any cost-related nonadherence | No cost-related nonadherence | ||
Feelings if physician used a real-time benefit tool to estimate price but did not discuss the priceb | ||||
Not at all upset | 356 (20.7) | 34 (10.2) | 322 (23.3) | <.001 |
Slightly upset | 365 (17.3) | 60 (12.0) | 305 (18.6) | |
Somewhat upset | 545 (27.1) | 97 (23.4) | 448 (28.1) | |
Moderately upset | 434 (19.4) | 102 (30.5) | 332 (16.6) | |
Extremely upset | 304 (15.5) | 85 (23.7) | 219 (13.4) | |
Feelings if price was a lot more than the physician estimated with a real-time benefit tool | ||||
Not at all upset | 68 (4.2) | 8 (1.5) | 60 (4.9) | <.001 |
Slightly upset | 155 (7.6) | 21 (5.7) | 134 (8.1) | |
Somewhat upset | 448 (20.9) | 65 (15.9) | 383 (22.2) | |
Moderately upset | 550 (25.4) | 101 (26.9) | 449 (25.1) | |
Extremely upset | 777 (41.5) | 182 (49.9) | 5695 (39.3) | |
Affect decision to start or keep taking medication if price was a lot more than estimated | ||||
Yes | 986 (53.7) | 289 (78.1) | 697 (47.5) | <.001 |
No | 1015 (46.1) | 90 (21.9) | 925 (52.2) | |
Opinion of physician using the real-time benefit tool if price was a lot more than estimated | ||||
Still want my physician to use the tool | 916 (42.4) | 187 (49.3) | 729 (40.7) | .002 |
Only use the tool if they thought the price might be very high | 597 (30.1) | 89 (21.4) | 508 (32.3) | |
Would not want my physician to use the tool again | 488 (27.0) | 103 (29.3) | 385 (26.5) | |
Confidence in physician if price was a lot more than estimated | ||||
Decrease my confidence in my physician a lot | 184 (10.4) | 44 (15.1) | 140 (9.2) | .003 |
Decrease my confidence in my physician a little | 687 (33.3) | 130 (35.5) | 557 (32.8) | |
Would not decrease my confidence in my physician | 1130 (56.1) | 204 (49.3) | 926 (57.9) | |
If the real-time benefit tool showed average price vs specific price, would you want that information | ||||
Yes | 1676 (82.6) | 323 (85.9) | 1353 (81.8) | .04 |
No | 325 (17.1) | 55 (13.3) | 270 (18.0) |
Sample weighted to represent US population aged 65 years and older.
Because people may be unfamiliar with the concept of real-time benefit tools, the following prompt was included to explain the meaning of this term: “Imagine your doctor could use a tool in your electronic medical record during your visit that showed them an estimate of the price that you would pay for a medication, and medication alternatives, based on your insurance.”