Empowering consumers and improving access to out-of-pocket cost information

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

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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A state-by-state look at coverage and access hurdles in 2016 exchange plans

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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New Avalere study: Health plan formularies continue to suggest bias against individuals with certain health conditions

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

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...
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New Study: Patient cost sharing rising as plans push more costs to patients through deductibles, coinsurance

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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New research: Insurance plan structure can have discriminatory effect

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...
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When coverage does not equal access to care

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...
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Do you know how insurance covers your medicines?

You’ve seen our check lists of questions to ask about your insurance coverage and how to make sure your medicines are covered, but do you know how (and if) your insurance plan covers your...
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Burden on Patients: 5 Questions on access to multiple sclerosis medicines in health exchange plans

Patients, especially those suffering from chronic conditions, deserve access to the medicines they need to live longer, healthier lives. Today, PhRMA released a new fact sheet on access to...
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