How drug coverage policies affect heart failure treatment

Impact of Restrictive Drug Coverage Policies on Heart Failure Care

['FUNDING_OTHER'] · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · NIH-10984164

This study looks at how strict rules about medication coverage affect patients with heart failure who need important medications, aiming to understand how high costs and extra approval steps make it harder for them to get the treatments they need to stay healthy.

Quick facts

Phase['FUNDING_OTHER']
Study typeNih_funding
SexAll
SponsorNEW YORK UNIVERSITY SCHOOL OF MEDICINE (nih funded)
Locations1 site (NEW YORK, UNITED STATES)
Trial IDNIH-10984164 on ClinicalTrials.gov

What this research studies

This research investigates how restrictive drug coverage policies impact the prescription and adherence to life-saving medications for patients with heart failure with reduced ejection fraction (HFrEF). It aims to identify the barriers caused by high out-of-pocket costs and prior authorization requirements that prevent patients from receiving necessary treatments. By analyzing a large database that includes insurance formulary information, electronic health records, and census data, the study will quantify the effects of these policies on medication adherence and health outcomes. The findings could help inform better practices and policies to improve patient care.

Who could benefit from this research

Good fit: Ideal candidates for this research are patients diagnosed with heart failure with reduced ejection fraction who may be affected by restrictive drug coverage policies.

Not a fit: Patients with heart failure who are not affected by drug coverage policies or those who do not require guideline-recommended medications may not benefit from this research.

Why it matters

Potential benefit: If successful, this research could lead to improved access to essential medications for heart failure patients, potentially reducing preventable deaths.

How similar studies have performed: Previous research has indicated that restrictive drug coverage policies negatively impact medication adherence and patient outcomes, suggesting that this study's approach is grounded in established findings.

Where this research is happening

NEW YORK, UNITED STATES

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.

View on NIH RePORTER →

Last reviewed 2026-05-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.