Racial Inequality in Inhaler Fills for COPD - A Trial of Reduced Cost-Sharing

Completed · Not applicable

Conditions studied: Chronic Obstructive Pulmonary Disease

In brief

In partnership with a large Medicare Advantage (MA) insurer (Humana, Inc.) and as part of a Center for Medicare and Medicaid Innovation demonstration program of Value-Based Insurance Design (VBID), the investigators propose to study a randomized controlled quality improvement trial in which Humana randomized MA beneficiaries with COPD to receive proactive outreach for a VBID benefit that provided large reductions in cost-sharing for their maintenance inhalers and telephone-based COPD medication management services in 2020 and 2021. The investigators will analyze changes in racial disparities for inhaler fills, clinical outcomes, health care spending, and acute care utilization.

Key facts

Study ID

NCT05497999

Run by

Harvard Medical School (HMS and HSDM)

People needed

19113

Starts

2020-01-07

Expected to finish

2022-12-31

Last updated by the study team

2023-03-14

Who can join

Age: any. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Has COPD diagnosis
• Receives health services and prescription drug benefits through a Humana Medicare Advantage plan that includes Part D coverage
• Has at least one prior fill of a COPD maintenance inhaler in the prior 12 months
• Not fully adherent to maintenance inhaler (PDC < 80%) in year prior to randomization

You may not qualify if…

• Enrolled in Part D Low-Income Subsidy program
• On hospice
• Has end-stage renal disease
• Has mild COPD (i.e., COPD diagnosis but no maintenance inhaler fill, no pulmonary function tests in year prior year, and no acute care use for COPD)
• Enrolled in Humana plan for less than 3 months
• In the coverage gap phase of MA plan at time of assignment
• Receives primary care at select locations of Humana subsidiaries (CenterWell or Conviva)

Where it is running

• University of Chicago — Chicago, Illinois, United States
• Humana, Inc. — Louisville, Kentucky, United States
• Harvard Medical School — Boston, Massachusetts, United States

Full record on ClinicalTrials.gov

Trial information comes from ClinicalTrials.gov and is refreshed daily. TrialsForMe does not provide medical care and does not run the studies it lists.