When insurers drop medications for cheap alternatives, the effects can be devastating for some patients: Philly.com

2921529215
When insurers drop medications for cheap alternatives, the effects can be devastating for some patients: Philly.com

“Splashing around in the pool, skin slick with sunscreen, Shane Butcher was a normal 9-year-old kid on a perfect summer day. And then he wasn’t,” Sarah Gantz writes over at The Philadelphia Inquirer. “He floated toward the edge of the pool, energy suddenly replaced by a vacant expression, his blood sugar plummeting so low he […]

How much does my medication cost? We saved her $275, or how people use our data

Filed Under: Costs, Patients

2894528945
How much does my medication cost? We saved her $275, or how people use our data

A friend writes: “I know that general health insurance isn’t what you specialize in at CHC.com, but I’m taking advantage of the fact that I know you to ask what I hope is an easy question for you to answer: “Can I change my crappy health insurance at this time of year — without a […]

Don’t get trapped by PBMs’ rebate labeling games: Managed Care magazine

Filed Under: Costs, Health plans, Patients

2876628766
Don’t get trapped by PBMs’ rebate labeling games: Managed Care magazine

“’What’s in a name? That which we call a rose by any other name would smell as sweet,’” Linda Cahn writes over at Managed Care magazine, explaining the many ways pharmacy benefit managers collect money in their contracts. “Juliet was speaking of Romeo, and expressing a universal truth. Unfortunately, pharmacy benefit management companies (PBMs) would […]

“Insulin is too expensive for many of my patients. It doesn’t have to be”: The Washington Post

2857728577
“Insulin is too expensive for many of my patients. It doesn’t have to be”: The Washington Post

“At age 15, I suddenly felt an unquenchable thirst and began urinating frequently. I lost 20 pounds. I had developed Type 1 diabetes, an autoimmune disease that destroyed my body’s ability to produce insulin,” Dr. David M. Tridgell wrote at The Washington Post not long ago. “Without insulin, I would have eventually developed a condition […]

How much does Dupixent cost? How our information helps people appeal a denial

2815928159
How much does Dupixent cost? How our information helps people appeal a denial

A friend writes: “I was fortunate to meet Jeanne at ClearHealthCosts, and with her assistance I was able to get Dupixent, an injected medication needed twice a month for my niece’s eczema. “Other medications did not treat this condition, and her doctor at Columbia Doctors Dermatology recommended this new medication. “We learned that the cost […]

Arthritis drugs show companies’ price policies: Kaiser Health News

2834528345
Arthritis drugs show companies’ price policies: Kaiser Health News

“Renda Bower knows well the cost of drugs to treat rheumatoid arthritis – her husband, son and daughter all have the painful, disabling autoimmune disease,” Julie Appleby writes over at Kaiser Health News, explaining the behind-the-scenes actions of drug makers and pharmacy benefit companies. “And the family’s finances revolve around paying for them. Even with […]

When your prescription co-pay is higher than the cash price: Lee Zurik

Filed Under: Costs, Health plans, Patients

2783727837
When your prescription co-pay is higher than the cash price: Lee Zurik

People are often surprised to find that their insurance policies may cause them to pay more for prescriptions in the form of co-pays than they would pay if they simply put away their insurance card and chose to use cash. This is not true for every medication or every policy but it’s true often enough […]

Pharmacies morph into primary-care health destinations: HealthPopuli.com

Filed Under: Costs, Health plans, Patients

2770127701
Pharmacies morph into primary-care health destinations: HealthPopuli.com

“The business and mission of pharmacies are being re-shaped by several major market forces, most impactful being uncertain health reform prospects at the Federal level — especially for Medicaid, which is a major payor for prescription drugs,” Jane Sarasohn-Kahn writes over at Health Populi. “Medicaid covered 14% of retail prescriptions dispensed in 2016, according to QuintilesIMS; […]

How much do prescriptions cost? Here’s the Medicare price info for 2014

Filed Under: Costs, Patients, Regulators

9970

SUMMARY: Curious about drug pricing? Here’s the link to Medicare drug pricing files for 2014. This is important because prescription prices can vary widely. The price Medicare reimburses is the closest thing in this marketplace to a fixed or benchmark price. Read more on the next page…