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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...   Read More

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...   Read More

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...   Read More

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...   Read More

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...   Read More

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...   Read More

New report confirms competitive market works; Net prices for medicines increased just 2.8 percent in 2015

By Holly Campbell  |    April 14, 2016
Despite misleading claims made about spending on new innovative treatments and cures, another report confirms how the competitive biopharmaceutical market works to control costs. Net prices for...   Read More

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...   Read More

New research: Insurance plan structure can have discriminatory effect

By Karyn Schwartz  |    March 31, 2016
New research from the Harvard University Center for Health Law and Policy Innovation (CHLPI) is another piece of evidence showing how health insurance plan design may be trying to discourage...   Read More

When coverage does not equal access to care

By Karyn Schwartz  |    February 19, 2016
Building on recent stories about the challenges even those with insurance are facing, new data show some consumers have no choice but to pay up to thousands of dollars out of pocket before their...   Read More

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