Issues & Insights
Sadly and surprisingly, the Center for Medicare and Medicaid Services has sided with he bottom line of insurance companies and delivered devastating financial harm to patients — at a time when many simply cannot afford it.
There are many ways you can get involved with Patient Rising Now. Please take a moment to let us know how you can help us advocate for patients' access to care.
Doctors working long hours are discovering an increased demand on their time from a familiar foe: insurance prior authorization requirements.
Louisiana has taken decisive action to help patients through the public health crisis.
Now, the Louisiana Association of Health Plans plans to file a lawsuit to overturn emergency rules designed to help patients during the COVID-19 crisis.
During the COVID-19 pandemic, patient assistance programs are providing free medications, expanding patient support services and increasing access.
During the coronavirus epidemic, states have emergency authority to waive regulations, cut red tape and expedite patient care with a federal 1135 Waiver.
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From Our Patient Advocates
“Medicare refuses to cover my tube feeds. Since my doctor is unable to show proof that I will need my feeding tube forever, they don’t deem it as necessary. Reality is, without my feeding tube I wouldn’t be here today. I need it to survive. The rules and regulations are a one-size-fits-all model for humans who are complex and unique.”
“It is essential to find a doctor or team who not only listens to and believes you but also respects you, it’s all too easy to get overlooked, ending up with your insurance company dictating your care. I owe my parents everything for taking me to a psychiatrist when I was six or seven and unable to function due to my intrusive thoughts and obsessive tendencies. I can’t imagine how much more painful my childhood might have been otherwise. Access to the right kind of medical care can be not only the difference between life and death, it can also be the difference between misery and a life worth living.”
“Insurance should protect me from catastrophic costs as that’s the purpose of insurance. My costs should be a reflection of my care, not the cost of a company doing business. I will not be charged unreasonable or unexpected out-of-pocket costs for services after I have paid my premiums. Why should patients like me pay coinsurance based off the list price and not the negotiated rebate price? My insurance company should work to minimize my out of pocket costs and concentrate on providing care to me and my family.”