Use of atypical antipsychotic drugs for schizophrenia in Maine Medicaid following a policy change.

View Abstract

More than one-third of Medicaid programs and Medicare Part D plans use prior authorization (PA) policies to control the use of atypical antipsychotics (AAs). We used Medicaid and Medicare claims data to investigate how Maine's PA policy affected AA use, treatment discontinuities, and spending among schizophrenia patients initiating AA therapy. Patients initiating AAs during Maine's policy experienced a 29 percent greater risk of treatment discontinuity than patients initiating AAs before the policy took effect; no change occurred in a comparison state. AA spending was slightly lower in both states. Observed increases in treatment discontinuities without cost savings suggest that AAs should be exempt from PA for patients with severe mental illnesses.

Abbreviation
Health Aff (Millwood)
Publication Date
2008-04-01
Volume
27
Issue
3
Page Numbers
w185-95
Pubmed ID
18381404
Medium
Print-Electronic
Full Title
Use of atypical antipsychotic drugs for schizophrenia in Maine Medicaid following a policy change.
Authors
Soumerai SB, Zhang F, Ross-Degnan D, Ball DE, LeCates RF, Law MR, Hughes TE, Chapman D, Adams AS