Burden on patients: Insurance benefit design’s impact on patient access to medicines
By Allyson Funk | June 30, 2016
Last week, we looked at access to medicines in health insurance exchanges for HIV/AIDS, oncology, cystic fibrosis, mental health and multiple sclerosis. The analysis by Avalere Health presents...
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Burden on patients: Access to medicines in health insurance exchange plans
By Allyson Funk | June 23, 2016
Access to prescription medicines is critical to help patients manage their chronic conditions and maximize quality of life. Unfortunately, even with insurance coverage, many patients still...
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Empowering consumers and improving access to out-of-pocket cost information
By Allyson Funk | June 16, 2016
A well-informed consumer is an engaged and empowered patient. One policy solution for delivering innovative treatments to patients is to engage and empower consumers by making more information...
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Many consumers still face confusion around health insurance coverage
By Rebecca Davison | May 25, 2016
Consumers need to be engaged and empowered when making decisions about their health coverage. Two recent studies suggest more can be done to help consumers sort through their health insurance...
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Higher deductibles and more dissatisfaction with health plans according to new poll
By Karyn Schwartz | May 20, 2016
The share of consumers in a high deductible plan increased from 36 percent to 49 percent among those who purchase their own insurance, according to a new Kaiser Family Foundation poll released...
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New non-discrimination rule neglects to define discriminatory benefits
By Karyn Schwartz | May 19, 2016
In a final rule released late last week, the Department of Health and Human Services’ Office of Civil Rights declined to provide details on health insurance benefit designs it considers to be...
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A state-by-state look at coverage and access hurdles in 2016 exchange plans
By Rebecca Davison | May 6, 2016
We frequently talk about access barriers patients with health insurance exchange plans face, including two recent studies from Avalere Health and Harvard University Center for Health Law and...
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CSRxP proposals would undermine competitive market, harm patients and innovation
By Robert Zirkelbach | April 25, 2016
These so-called market-based proposals are nothing more than a litany of new government regulations and mandates that would undermine the competitive market and empower government bureaucrats and...
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New Avalere study: Health plan formularies continue to suggest bias against individuals with certain health conditions
By Karyn Schwartz | April 19, 2016
Despite warnings from the Centers for Medicare & Medicaid Services (CMS) that requiring high cost sharing for all or most medications to treat a condition may be discriminatory, new data from...
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New Study: Patient cost sharing rising as plans push more costs to patients through deductibles, coinsurance
By Karyn Schwartz | April 13, 2016
New data show changes in how insurers structure health insurance benefits have made out-of-pocket costs harder for patients to budget for or predict. A Kaiser Family Foundation analysis released...
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