Facing Financial Hardship Patients' Views on Clinical Trade-offs in Exchange for Cost Savings

As more patients enroll in health insurance with high out-of-pocket costs, providerpatient cost discussions are of growing importance. Little is known about how patients want providers to engage in cost conversations. We surveyed 842 chronically ill adults seeking financial help to examine preferences around treatment trade-offs in 3 areas-convenience, side effects, and efficacy and whether preferences changed with different savings. To save money, half of patients were willing to endure inconvenience (increased dosing), with no difference bymagnitude of savings ($50 vs $150 per month). Few participants were willing to tolerate side effects or reduced efficacy.