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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 this week, Anthem Blue Cross Blue Shield and CIGNA become the latest major insurers threatening to scale back their participation in Affordable Care Act (ACA) Marketplaces unless regulatory changes ensure more favorable risk pools. The Centers for Medicare and Medicaid Services (CMS) hints that it may limit third-party premium assistance from charitable groups like PSI in order to address insurer complaints that making Marketplace plans affordable to high-cost pa...
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In the Health Reform Update for the past week, the American Hospital Association (AHA) urges the Centers for Medicare and Medicaid Services (CMS) to require that Marketplace insurers accept premium assistance from non-profits like Patient Services Inc., as a Congressional bill that would force that change gains 102 bipartisan cosponsors. The Department of Health and Human Services (HHS) attempts to quell concerns about dramatic premium hikes for Marketplace plans by releasing a study showing ...
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In the Health Reform Update for the past week, Aetna becomes the latest major insurer to withdraw from most Affordable Care Act (ACA) Marketplaces for 2017, causing the number of rural counties that will have only one insurer to more than triple. The Centers for Medicare and Medicaid Services (CMS) attempts to keep other insurers in the Marketplace by agreeing to consider limits on third-party premium assistance from non-profits affiliated with providers or provider groups. The agency also h...
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