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Spending for high-priced specialty drugs for diseases such as cancer, HIV and hepatitis C is expected to rise dramatically next year, and large companies hope to put controls in place to help keep their costs down, according to a new survey.
Truvada is a drug that can help people who are not infected avoid contracting the virus that causes AIDS. But some patients are worried the medical community is not up to speed.
Incentives advanced by state-based health reforms and the federal health law have created new opportunities for nonprofit organizations like Boom!Health, says Robert Cordero, the integrated clinic’s ougoing president.
Two new procedures have been added to the list of what should be covered by insurance without charge to consumers under provisions of the health law.
Beginning in 2016, most Covered California customers will not have to pay more than $150 or $250 per prescription, per month. The price caps are a response to very expensive new drugs used to treat hepatitis and other serious illnesses.
The American Lung Association study finds that few insurers fully cover all seven FDA-approved devices to help smokers quit the habit, but insurers dispute the findings.
Federal health officials urge anyone at substantial risk of HIV to start an expensive prescription drug regimen that can prevent infection. But that doesn't mean it qualifies for coverage without any cost sharing under the health law.
Some legislators and patient advocates say the targeted services, including dental and mental health services, not only help keep people healthy — they save the state money.
With same sex marriage legal in 35 states, some employers say they will no longer provide benefits to unmarried partners.
People with HIV and AIDS can get private insurance, but advocates say that doesn't guarantee access to high quality care.
Many people with HIV live below the poverty line and therefore won't qualify for Obamacare subsidies to buy private insurance, or for Medicaid since Texas officials opted against expanding that program under the law.
These high-priced medications are often shifted to the top tiers of drug plans, so consumers dealing with cancer, multiple sclerosis, HIV and other complicated diseases can end up paying thousands of dollars for their prescriptions.
Hollywood center taps medical authorities to answer producers' questions on everything from autism to tuberculosis.
Groups file complaint with federal officials saying four Florida insurers discriminated against people with HIV in setting up pricing structure for drugs, and another analysis finds that many silver plans place medications for costly diseases in highest formulary tier.
But insurers oppose many of the premium assistance efforts, saying they would lead to sicker enrollees who will raise costs for everyone.
What happens when hospice patients can keep getting life-extending treatment? Palliative care expert Diane Meier discusses the new program.
Federal law seeks to keep sexual assault victims from paying for forensic exams, but in some states they may have to cover tests and treatment for pregnancy or sexually transmitted infections.
It offers a plan geared to people with serious mental illnesses that will coordinate physical and behavioral services.
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