In a previous blog post, we explored “clawback” and how it affects the prices of prescriptions. In short, Pharmacy Benefit Managers (PBMs) negotiate copay prices for insurers that are often higher than the cash price paid by uninsured patients all while instituting a “gag rule” for pharmacists to forbid them from revealing the price discrepancy …
Category Archive: Healthcare Reform
LGBT Health Awareness Week 2018
The last week of March has been LGBT Health Awareness Week since 2003. We have gone over some of the barriers to health care for some of the transgender community in previous blog posts, but it remains important to bring awareness to the unique healthcare needs of lesbian, gay, bisexual, and transgender people and the …
Open Enrollment by the Numbers
Open enrollment for Affordable Care Act (ACA; aka Obamacare) coverage ended across the United States in mid-December, but the last few states ended their open enrollment period at the end of January. We wrote in November about the state of Open Enrollment, and discussed the impacts of confusion surrounding the healthcare law earlier this year. …
Medicaid Work Requirement
Medicaid is the United States’ public health insurance program for people with low incomes and chronic health conditions. Medicaid covers one in five Americans; mostly children, people with disabilities, and the elderly. The Affordable Care Act (ACA; aka Obamacare) expanded Medicaid coverage to include the working poor (those who make 138% of the Federal Poverty …
State of Healthcare 2017
Health care in America was a constant subject of conversations in public venues and political forums in 2017. There has been confusion about health insurance, failed legislation, Executive Orders reversing Obamacare guidelines, tax plans affecting healthcare costs, and the failure to fund healthcare programs that cover millions of low-income Americans. People in the United States …