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In the Health Reform Update for the past week, the U.S. Supreme Court denies providers the right to sue to enforce federal law guaranteeing a minimum level of Medicaid reimbursement. It also rejects a premature challenge to a Medicare cost-cutting board that has yet to go into effect. The Obama Administration reveals that only 36,000 of an estimated four million eligible Americans have signed-up for Marketplace coverage via a special enrollment period (SEP) that runs through April 30th. The...
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Our recent update on Specialty Tiers is now available.
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Patient Services, Inc. (PSI) is pleased to support the Patients’ Access to Treatments Act (PATA). This important bipartisan legislation would limit cost-sharing requirements for medications placed in a specialty tier and make innovative and necessary medications more accessible by reducing excessive out-of-pocket expenses.
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An alarming trend in today’s health insurance market is the practice of moving more expensive drugs onto specialty tiers that utilize high patient cost-sharing methods. The patient costs for drugs in specialty tiers can reach into the thousands of dollars a month, placing medically-necessary treatments out of reach of average insured Americans. For many patients, this leads to failure to adhere to a treatment plan, which can lead to worsening disease, increased rates of disability, and rising h...
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Patient Services, Inc. Supports Rare Disease Day® and Joins Global Movement to Raise Important Awareness for Rare Diseases
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Patient Services, Inc. (PSI) a national 501(c)(3) nonprofit organization announced the launch of Fair Copay VA.
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PSI President talks about the importance of the VA General Assembly limiting out-of-pocket costs for vital medications.
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In the Health Reform Update for the past week, a House committee advances a draft version of “21st Century Cures” legislation to expedite drug approvals, while exclusivity for biologic drugs becomes a sticking point in trade legislation blocked by the Senate. Hawaii’s governor agrees to turn control over the state’s beleaguered Marketplace web portal to the federal government. Marketplaces in Colorado and Connecticut approve increases in insurer assessments in order to remain self-sust...
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In the Health Reform Update for the past week, President Obama is likely to veto the Republican budget passed by the House and Senate that seeks to cut Medicare by $430 billion and repeal specific provisions the Affordable Care Act (ACA) through reconciliation. Senate Republicans also demand greater oversight of federal Marketplace grants after reports show at least half of the state-based models continue to struggle with higher costs and lower enrollment than anticipated. A RAND Corporation...
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Our latest update on Specialty Tiers is now available!
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