Tag Archive: out-of-pocket costs

Laws Proposed to Protect Patients from Artificially High Prescription Costs

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 …

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Open Enrollment by the Numbers

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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. …

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CBO Scores Tax Reform/Healthcare Repeal

This year we have been tracking the evolution of healthcare in the United States under the Trump administration, from the American Health Care Act (AHCA) and the Better Care Reconciliation Act (BCRA) bills failing to pass through Congress, the expiration of the Children’s Health Insurance Plan (CHIP) which covers 9 million children—many of whom have chronic health …

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ACA Open Enrollment

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The Affordable Care Act (ACA; aka Obamacare) Health Insurance Marketplace begins its fifth Open Enrollment period today. American healthcare consumers can sign up on the federal insurance exchange at healthcare.gov or through their state marketplaces. This year, there is increased confusion and anxiety surrounding Open Enrollment due to changes (and attempted changes) made to the …

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Changes to the ACA in the New Administration

In a previous blog post, we explored the proposed replacement for the Affordable Care Act (ACA; aka Obamacare) known as the American Health Care Act (AHCA). Since then, the bill has been indefinitely tabled after it could not secure the required number of votes to pass the U.S. House of Representatives. Prior to the new …

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