ACA

Federal health policy update

Federal health policy update

Carl Schmid, along w/ other NAIC consumer reps., provides federal update at its Fall Meeting in Tampa with a focus on updated regulations to strengthen ACA Section 1557 non-discrimination rule and copay accumulator litigation to ensure copay assistance counts.

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Ensuring copay assistance counts for patients: Litigation update

Ensuring copay assistance counts for patients: Litigation update

At Informa Connect’s Copay, Reimbursement and Access Congress, Carl Schmid discusses the litigation filed by HIV+Hep, the DLC, and the DPAC in the U.S. District Court for DC challenging a federal rule that allows health insurers to avoid counting the value of drug manufacturer copay assistance toward patients’ out-of-pocket cost obligations in violation of the ACA definition of and regulations for cost-sharing.

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Ensuring copay assistance counts for patients: A federal update

Ensuring copay assistance counts for patients: A federal update

Carl Schmid discusses on a National Consumers League webinar current federal advocacy efforts to ensure that copay assistance for prescription drugs counts. This includes comments on two regulations, a congressional bill, and recent litigation initiated by HIV+Hep and two diabetes groups.

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Plan benefit design, prescription drugs, and race

Plan benefit design, prescription drugs, and race

Carl Schmid presents to NAIC Special Committee on Race & Insurance on how insurance benefit design impacts prescription drug access for racial and ethnic communities and suggestions for overcoming access barriers by reducing utilization management measures, lowering cost-sharing, offering standardized plans, and enforcing ACA non-discrimination policies.

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