For more than 30 years, October has been National Breast Cancer Awareness Month in the US. Breast cancer is the second most common cancer among women, second only to skin cancer. With more than 200,000 women diagnosed each year, awareness can save lives through early detection and lowering risk. The main risk factors of breast cancer include being a woman and being older, which means almost any woman can be diagnosed with no family history or other known risk factors. The Centers for Disease Control and Prevention (CDC) recommends healthy living habits such as maintaining a healthy weight, regular exercise, […]
What is a Clawback & How it’s Affecting Your Prescription Copays
Americans may be surprised to learn that they could be paying more for their medications with their insurance copay instead of the cash price available to those without insurance. A study published last week found that Pharmacy Benefit Managers (PBMs) undermine claims that negotiated “rebates” with pharmaceutical companies are passed on to consumers. This follows a federal lawsuit filed over the summer after a California woman paid a $164 copay on a medication that can be purchased for $92 from the same pharmacy by anyone not using insurance. This practice is known as “clawback” and is instituted by PBMs who […]
Affordable Care Act Trumped
Donald Trump, President of the United States, has taken steps to systematically change America’s health insurance system. He has failed on his promise to pass healthcare reform through Congress due to lack of support, mostly from the destabilization the American Health Care Act (AHCA) and Better Care Reconciliation Act (BCRA) would have caused for premium costs and uninsured rates. The morning of October 12 he signed an Executive Order undermining the Affordable Care Act (ACA) and opens the door to low-benefit insurance despite lack of Congressional support. Later that night, Trump ordered an immediate end to subsidies to insurance companies that help […]
Children’s Health Insurance Program (CHIP) Expires
Congress has allowed the Children’s Health Insurance Program (CHIP), which insures 9 million children in the United States, to expire. The program provided coverage for children in families making under 200% Federal Poverty Level (FPL) as well as to pregnant women. CHIP played a huge part in decreasing the rate of uninsured children from 14% in 1997 to 4.5% in 2015. By taking no action to renew the program before September 30, 2017 the U.S. Congress allowed the program to lose future funding, putting millions of American children at risk of major health complications from ordinarily treatable conditions. CHIP covers […]
Mental Illness Awareness Week
For over 25 years, the first full week of October has been Mental Illness Awareness Week. One in five, or 20% of the population, live with some kind of mental health condition, with one in 25 living with a serious mental illness that substantially limits one’s life activities. Those living with mental illness fight stigma while trying to survive under internal duress. Awareness is important so that resources are made available to those who need them and the stigma and misconceptions surrounding mental illnesses will be reduced. Everyone has stress and difficult emotions on occasion, and this is completely normal. […]