PS2-19: Characterizing Primary Care Visits: Explaining Variation in the Evaluation and Management Visit Level

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Abstracts 15.8% received help with their medications versus 4.8% among those without limitations (P <0.001).Overall, 17% reported a cost-reducing behavior, 3% non-adherence, and 8% financial stress due to drug costs; these behaviors were more common among beneficiaries with functional limitations.In multivariate analyses, beneficiaries with 3+ functional limitations who did not receive help with their medications had higher rates of cost-related non-adherence (OR = 6.06, 95% CI: 1.71-21.51)and financial stress (OR = 4.06, 95% CI: 1.73-9.51)than those without limitations and without help with their medications.Beneficiaries with 3+ functional limitations who received help with their medications were also more likely to experience financial stress (OR = 2.81, 95% CI: 1.13-6.98).However, there were no significant differences in the odds of general non-adherence compared with beneficiaries who did not receive help.Conclusions: Beneficiaries with functional limitations frequently report receiving informal support with their medication regimens and cost-related drug use behavior changes.Among beneficiaries with multiple limitations, those receiving assistance were less likely to reduce adherence.Support with self-care activities for beneficiaries with limited functional status could improve adherence and outcomes.

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