The American journal of managed care
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To examine the prevalence of high out-of-pocket burdens and self-perceived financial barriers to care among patients receiving hypertension treatment. ⋯ High burdens may deter patients from getting needed care. Our findings have 2 distinct policy implications. First, raising awareness among providers regarding the prevalence of high out-of-pocket burdens and financial barriers to care may encourage physicians to discuss healthcare coverage and associated costs with their patients. To the extent that patients' perceptions about their ability to pay are incorrect, physicians can help patients overcome barriers to treatment. Second, health plans could reduce patient cost sharing on drugs for which there is a strong body of evidence documenting cost-saving treatment such as antihypertensive medication. Addressing financial barriers to care may improve treatment adherence among patients with hypertension.