Claim: Penn study: Pay patients to take their pills
Verdict: SUPPORTS

Retrieved passages:
title: Express Scripts
text: company had kept tens of millions of dollars in drug rebates owed to the state. The suit was filed in the New York Supreme Court in Albany County. The lawsuit further claimed that Express Scripts had overstated the cost benefits of switching to certain preferred medications. In 2008 the company settled the lawsuit, agreeing to pay $9.3 million to Pennsylvania and 28 other states to resolve claims of deceptive business practices. As part of the settlement, the company also agreed to change its business practices and pay up to $200,000 in reimbursement to patients. In October 2008, the St. Louis

title: Ameritox
text: School of Population Health at Thomas Jefferson University conducted a national study to determine the rates of inappropriate use, and likely abuse, misuse and diversion of opioids among chronic pain patients, as measured by urine drug testing in the clinical setting. The results showed that 75% of patients in the study may not have been taking their pain medication consistent with their prescribed regimen. In 2010, the United States Attorney Robert E. O’Neill and Ameritox, Ltd. reached an agreement to pay $16.3 million in a civil settlement that addressed allegations that it paid kickbacks to providers in order to induce

title: Dana Goldman
text: numbers, the American Society of Health System Pharmacists say Americans spent $307.5 billion on pharmaceuticals in 2010. Research by Goldman, Joyce, Escarce, Pace, Soloman, Laouri, Landsman, and Teutsch (2001) studied the purchasing behavior of drugs used to treat eight chronic illnesses: diabetes, high blood pressure, high cholesterol, asthma, depression, allergies, arthritis, and stomach ulcers. This retrospective study presents a strong correlation between co-payment levels and medication use for these chronic illnesses. The study illustrated the change in consumption behaviors based on plan generosity and structure such as coinsurance rates and mandatory generic substitution. The study by Goldman et al. (2001)

title: Pills Anonymous
text: thousand PA members in the United States, Canada and other countries attending over 60 meetings per week. On-line meetings exist as well. The only requirement for membership is "a desire to stop using pills", and members "meet regularly to help each other stay clean", where "clean" is defined as complete abstinence from all mood- and mind-altering substances (including alcohol). Membership in P.A. is free, and there are no dues or fees. The foundation of the Pills Anonymous program is the twelve steps and twelve traditions. Pills Anonymous "has no opinion on outside issues", including those of politics, science, or medicine,

title: Pills Anonymous
text: Pills Anonymous Pills Anonymous (PA) is a twelve-step program for people who seek recovery from prescription drug addiction. PA is patterned very closely after Alcoholics Anonymous, although the two groups are not affiliated. PA uses the book "There Is A Solution: The Twelve Steps and Twelve Traditions of Pills Anonymous" (), created as a combined text and study guide for pill addicts to use in their recovery, and to further their understanding of the Twelve Steps and Twelve Traditions and apply them in their daily lives. The PA book was published in August 2013. As of 2013, there are several

title: Prescription drug prices in the United States
text: June 2015, they had not filled a prescription in the past 12 months due to cost, and 18 percent reported they "cut pills in half or skipped doses" according to a Kaiser Family Foundation survey. A 2015 survey by the National Center for Health Statistics found that 8% of Americans did not take their medications as prescribed to save money. Similar studies, done ten years prior, found numbers very similar to the 2015 numbers from the Kasier Family Foundation survey. In 2007, it was estimated that 23.1% of Americans (51 million) had not adhered to their prescription instructions due to

title: Co-pay card
text: card giving patients the opportunity to save up to $20 off each prescription fill. A patient receives the co-pay card and visits their pharmacy. The patient provides his insurance card and co-pay card to the pharmacist. The pharmacist enters information into his pharmacy management system from both cards. The insurance benefit manager recognizes the drug as a TIER 3 brand for the patient and relays the patient co-pay to be $30.00. The co-pay card benefit manager recognizes the $30.00 and covers the $20.00 of co-pay, leaving $10 for the patient to pay out of pocket. Another patient without prescription insurance

title: Pills Anonymous
text: Book, "There is a Solution: The Twelve Steps and Twelve Traditions of Pills Anonymous", was published. Pills Anonymous Pills Anonymous (PA) is a twelve-step program for people who seek recovery from prescription drug addiction. PA is patterned very closely after Alcoholics Anonymous, although the two groups are not affiliated. PA uses the book "There Is A Solution: The Twelve Steps and Twelve Traditions of Pills Anonymous" (), created as a combined text and study guide for pill addicts to use in their recovery, and to further their understanding of the Twelve Steps and Twelve Traditions and apply them in their

title: Prescription costs
text: often set prices by pills rather than by dose, consumers can sometimes buy double-dose pills, split the pills themselves with their doctor's permission, and save money in the process Prescription drug prices in the United States have been among the highest in the world. The high cost of prescription drugs became a major topic of discussion in the new millennium, leading up to the U.S. health care reform debate of 2009, and received renewed attention in 2015. High prices have been attributed to monopolies given to manufacturers by the government and a lack of ability for organizations to negotiate prices.

title: Take Charge
text: examinations and pap smears, prescriptions for FDA-approved birth control methods including emergency contraception, and tubal ligation (sterilization) procedures. Services available to eligible men include FDA-approved over the counter contraceptives (such as male and female condoms and spermicide), annual contraceptive counseling sessions, and vasectomy (sterilization) procedures. The program began in July 2001 and has been utilized by over 400,000 men and women. In September 2006, the Washington Department of Social and Health Services published an evaluation of the program, entitled "TAKE CHARGE: Final Evaluation, First Five Years: July 2001-June 2006". According to the report: Take Charge Take Charge is a government

title: Pills Anonymous
text: meetings focus on reading, writing, and/or sharing about one of the Twelve Steps or some other portion of P.A. literature. Some meetings are "common needs" (a.k.a. special interest) meetings, supporting a particular group of people based on gender, sexual identity, age, language or other characteristic. These meetings are not exclusionary, as anyone with a desire to stop using pills is welcome at any P.A. meeting. PA Communities will often make an effort to have an open meeting run at the same time for members who don't identify with the common needs meeting. During the meeting, some groups allot time for

title: Prescription drug
text: out of pocket costs for patients enrolled in co-pay assistance or patient assistance programs are $0. It is a major resource to help lower costs of medications – however, many providers and patients are not aware of the resources. Traces of prescription drugs — including antibiotics, anti-convulsants, mood stabilizers and sex hormones — have been detected in drinking water. Pharmaceutically active compounds (PhACs) discarded from human therapy and their metabolites have been found to not be completely eliminated by sewage treatment plants and have been found at low concentrations in surface waters downstream from those plants. The continuous discarding of

title: Adherence (medicine)
text: not fill prescriptions include the cost of the medication, A US nationwide survey of 1,010 adults in 2001 found that 22% chose not to fill prescriptions because of the price, which is similar to the 20–30% overall rate of unfilled prescriptions. Other factors are doubting the need for medication, or preference for self-care measures other than medication. Convenience, side effects and lack of demonstrated benefit are also factors. Prescription medical claims records can be used to estimate medication adherence based on fill rate. Patients can be routinely defined as being 'Adherent Patients' if the amount of medication furnished is at

title: Adherence (medicine)
text: of negotiating lower prices with monopolies in the pharmaceutical industry especially with brand name drugs. In order to manage medication costs, many US patients on long term therapies fail to fill their prescription, skip or reduce doses. According to a Kaiser Family Foundation survey in 2015, about three quarters (73%) of the public think drug prices are unreasonable and blame pharmaceutical companies for setting prices so high. In the same report, half of the public reported that they are taking prescription drugs and a "quarter (25%) of those currently taking prescription medicine report they or a family member have not

title: Prescription drug prices in the United States
text: the cost of prescription drugs. This is compared to only 8% of Canadians who skipped doses or failed to fill a prescription in the same year because of the cost of prescription medications. The number of Americans who reported cost-related non-adherence to their prescriptions was more than double the number of Canadians. The factors that contributed to whether or not a person was more likely to not follow their prescribed medication instructions were age, the number of checkups with a physician, ongoing health problems, income, and insurance coverage. For example, adults between the ages of 18-35 were more likely to

title: Opioid epidemic
text: doctors offices, where doctors examine patients extremely quickly with a purpose of prescribing painkillers. These clinics often charge an office fee of $200 to $400 and can see up to 60 patients a day, which is very profitable for the clinic. Pill mills are also large suppliers of the illegal painkiller black markets on the streets. Dealers may hire people to go to pill mills to get painkiller prescriptions. There have been attempts to shut down pill mills, and 250 pill mills in Florida were shut down in 2015. Florida clinics also are no longer allowed to dispense painkillers directly

title: Health care in the United Kingdom
text: medication use. Northern Ireland, Scotland and Wales no longer have Prescription charges. However, in England, a prescription charge of £8.60 is payable per item , though patients under 16 years old (16–18 years if still in full-time education) or over 60 years getting prescribed drugs are exempt from paying as are people with certain medical conditions, those on low incomes or in receipt of certain benefits, and those prescribed drugs for contraception. UK permanent residents in England do not pay the real cost of the medicines and so for some prescribed medicines that can be bought over the counter without

title: Co-pay card
text: Co-pay card Based on the National Council for Prescription Drug Programs standard, all pharmacy software systems contain information fields for both a primary and secondary insurer to pay for patient’s prescription. The co-pay card appeared in 2005 as a means by which pharmaceutical marketers could, by offering an instantaneous rebate to patients, combat their challenges to prescription pharmaceuticals, including generic competition, lack of patient compliance and persistency, and an access to the physician population. As of January 2017, in the United States, coupon cards for more than 600 prescription medications are available. Typically a patient will receive his/her co-pay card

title: Prescription drug prices in the United States
text: cheaper alternative(s). Offering drug coupons is a strategy employed by pharmaceutical companies to lower consumer out-of-pocket costs. Patients can obtain these coupons online or at their doctor’s office and use them to reduce their co-pays for a given prescription medication. For certain specialty drugs, drug coupons have been found to save patients as much as $6 of every $10 they are asked to pay out-of-pocket. For a certain type of drug, drug coupon users had higher drug utilization rates and lower rates of discontinuation than for non coupon users. While this approach has been praised for lowering out-of-pocket costs and

title: Medicare (United States)
text: their Medicaid rolls. Ultimately Kaiser found that the plan would raise total social costs by more than twice the savings to the federal government. Negotiating the prices of prescription drugs Currently, people with Medicare can get prescription drug coverage through a public Medicare Part C plan or through the standalone Part D prescription drug plans (PDPs) program. Each plan sponsor establishes its own coverage policies and could if desired independently negotiate the prices it pays to drug manufacturers. But because each plan has a much smaller coverage pool than the entire Medicare program, many argue that this system of paying