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...
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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...
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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...
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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...
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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...
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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....
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