An experimental program in Philadelphia is giving financial incentives to patients who follow their prescriptions for warfarin, a generic anti-blood clotting medication. Patients who don't properly fill and follow their prescriptions cost the US $100 billion in additional health care costs every year, reports the New York Times. To reduce this waste, the Aetna-sponsored program in Philly creates a lottery-like pool in which patients can win up to $100 a day for taking their prescribed meds.
Two leading causes of prescription non-compliance are cost of medicine and forgetting to take it. In addition, says IMC2, a "brand engagement" company, patients also complain about side-effects and insufficient information. Prescriptions may help certain diseases, but lead to potentially deadly side effects: for example, studies have shown warfarin (prescribed for heart conditions) can significantly raise the risk of death from stroke or internal bleeding. And even without the side-effects, some patients simply believe they don't really need the medication. NYT reader Booth Selig, says: "As a 74-year-old, I have fought doctors for years when it comes to various prescribed medicines—multiple heart meds and wafarin being two examples... It is difficult and time consuming to manage, requires weekly doctor visits until regulated, and has caused countless hospitalizations and deaths... Many people no longer trust the FDA or their doctors advice and with good reason."