• Patient Action Center
  • Seniors Rising Now
0 Items
Patients Rising Now
  • Home
  • About
    • About Us
    • Who We Are
    • Partners and Coalitions
    • Corporate Membership
    • Corporate Members
    • Financials
  • Issues
    • 117th Congress Advocacy Scorecard
    • Legislative Positions
    • Terry’s Hot Take
    • News and Insights
    • Positions
    • Policy Supported
  • Take Action
    • Patient Action Center
    • What You Can Do
    • Advocacy Masterclass
  • Donate
Select Page
  • Home
  • About
    • About Us
    • Who We Are
    • Partners and Coalitions
    • Corporate Membership
    • Corporate Members
    • Financials
  • Issues
    • 117th Congress Advocacy Scorecard
    • Legislative Positions
    • Terry’s Hot Take
    • News and Insights
    • Positions
    • Policy Supported
  • Take Action
    • Patient Action Center
    • What You Can Do
    • Advocacy Masterclass
  • Donate

Out of Pocket Costs

CMS Opens Up A Path for Value-Based Payment Agreements

CMS Opens Up A Path for Value-Based Payment Agreements

Feb 19, 2021 | Medicaid, Out of Pocket Costs

By Surabhi Dangi-Garimella, Ph.D. Following a proposed rule in summer 2020, the Centers for Medicare & Medicaid Services (CMS) has finalized a rule to allow state Medicaid agencies to enter into innovative value-based pricing agreements with manufacturers. This is...
Read more
For Those Struggling With Medical Debt, These Policy Solutions Can Help

For Those Struggling With Medical Debt, These Policy Solutions Can Help

Nov 13, 2020 | Health Insurance, Out of Pocket Costs

Medical debt is not a new problem in the U.S. It has, however, received greater attention in recent years especially following implementation of the Affordable Care Act (ACA)—the premise of the ACA is to provide coverage to as many individuals as possible to spread...
Read more

Recent Policy Changes in the 2021 Notice of Benefit and Payment Parameters (NBPP)

Jul 7, 2020 | Federal Issues, Letters Supported, Out of Pocket Costs

Throughout the country, millions of patients rely on cost-sharing assistance programs, which reduce patient out-of-pocket costs for prescription medications. For many individuals, these cost reductions are significant, allowing them to afford the medications necessary...
Read more

Reimbursement and Policy Changes Needed to Reduce Osteoporosis-Related Fractures

Jun 22, 2020 | Medicare, Out of Pocket Costs

About 54 million Americans are estimated to be suffering from, or are at a high risk for, osteoporosis—a disease characterized by weak bones that are susceptible to fractures. In addition to a healthy diet, preventive screening is recommended to reduce the risk of...
Read more
Statement by Patients Rising NOW on CMS Decision to Increase Out-of-Pocket Costs for Patients

Statement by Patients Rising NOW on CMS Decision to Increase Out-of-Pocket Costs for Patients

May 12, 2020 | Featured, Federal Issues, News, Out of Pocket Costs

Sadly and surprisingly, the Center for Medicare and Medicaid Services has sided with the bottom line of insurance companies and delivered devastating financial harm to patients — at a time when many simply cannot afford it. The 2021 Notice of Benefit and Payment...
Read more
New CMS co-pay rule will increase out-of-pocket costs in 2020

New CMS co-pay rule will increase out-of-pocket costs in 2020

Sep 9, 2019 | Copay Accumulators, Drug Costs, News, Out of Pocket Costs

Get ready for higher out-of-pocket costs in 2020. Last week, the Trump administration’s Centers for Medicare & Medicaid Services quietly announced new co-pay rules that will allow insurance companies to increase patients’ out-of-pocket costs in 2020....
Read more
« Older Entries

Categories

  • Access
  • Advocacy
  • California
  • Comment Letters
  • Copay Accumulators
  • Copay Assistance
  • COVID-19
  • Drug Costs
  • FDA
  • Featured
  • Featured Action
  • Federal Issues
  • Health Insurance
  • Health Policy
  • ICER
  • Illinois
  • Issues
  • Letters Submitted
  • Letters Supported
  • Massachusetts
  • Medicaid
  • Medicare
  • Medicare Part D
  • News
  • Op-Ed
  • Out of Pocket Costs
  • Pharmacy Benefit Managers
  • Podcast
  • Prescription Drugs
  • Press Releases
  • Public Statement
  • QALY
  • State Issues
  • Statements
  • Step Therapy
  • Surprise Billing
  • Terry's Hot Take
  • Uncategorized
  • Value Based Insurance Design
  • Value Frameworks
  • Virtual Advocacy Chat

Tags

21st Century Cures Act 340B Access to Care Advocacy Alzheimer's Biden Administration biosimilars Cancer cms Copay Accumulators copay assistance COVID-19 Vaccine drug costs Drug Manufacturing Drug Pricing drug rebate fail first FDA Gene Therapies H.R.3 Health Insurance hospital bills HR 3708 hsa ICER Insurance design Joe Biden medicare Part B medicare part D Mental Health Nonmedical Switching open enrollment Out of Pocket Costs PBM PBMs pharmacy benefit managers Price Transparency Prior Authorization QALY Rare Disease Right to Repair Step Therapy Telehealth transparency Value Framework

Recent Posts

  • Patients Rising Now Signs onto Letter to CMS on Low Income Subsidies
  • Patients Rising Now Weighs in on House E&C QALY Hearing
  • Patients Rising Now Signs on to Letter to HHS on NBPP
  • Patients Rising Now Sends Comments to CMS on EHBs
  • Rural Hospital Closures Further Complicates Healthcare Access in Mississippi

Get Updates In Your Inbox

Sign up for updates about our patient education, support and advocacy programs and initiatives.

YES, KEEP ME UPDATED

Patients Rising Now

We are a 501c4 group dedicated to demanding transparency in health care.  We are part of the Patients Rising suite of programs and services.

700 12th St. NW 700, Suite 700
Washington, DC 20005
202-679-8223

 

  • Privacy Policy
  • Sponsor Opportunities
  • Patients Rising
  • Patient Action Center
  • Facebook
  • Twitter
  • Instagram
All rights reserved. © 2023 Patients Rising Now