Presentations

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Claims chaos: barriers to health insurance: Prior authorization, denials & appeals

Claims chaos: barriers to health insurance: Prior authorization, denials & appeals

Aug 11, 2023

NAIC Consumer Reps. Carl Schmid and Deb Darcy discuss barriers consumers face in accessing healthcare through the high number of prior authorizations and the appeals and denials process, and request the NAIC develop a workstream that improves data collection, and consumer awareness of the appeals process, update model laws, and better enforcement of federal and state laws and regulations.

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Tackling copay accumulator and maximizers

Tackling copay accumulator and maximizers

Jun 1, 2023

Carl Schmid participates in the “Prescription for Better Access” podcast with Lauren Crawford Shaver and hosts Mark Hansan and Dr. Scott Howell to examine how PBM copay accumulator and maximizer policies harm patients by not counting copay assistance toward patient out-of-pocket costs and deductibles, and what can be done to keep prescription drugs accessible and affordable.

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Generating optimism about the linkage to care for viral hepatitis

Generating optimism about the linkage to care for viral hepatitis

Apr 19, 2023

Carl Schmid, executive director of the HIV+Hepatitis Policy Institute, is excited about the new Eliminate Hepatitis C (HCV) program put forth by the Biden Administration and being led by former NIH Director Francis Collins, MD, PhD, who is serving as a scientific advisor to the Biden Administration. “This is something we have been asking for years…We know we can end hepatitis C,” Schmid stated.

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Federal funding needed for a national PrEP program

Federal funding needed for a national PrEP program

Apr 11, 2023

Carl Schmid and Kevin Herwig present HIV + Hepatitis Policy Institute’s study modeling how much funding is required for a national PrEP program to reduce disparities, cover medications and ancillary services such as clinic visits and laboratory testing for the uninsured, and to increase outreach and adherence services.

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ACA Appropriations Biden administration CDC Congress Copay accumulators Copay assistance Cost-sharing Drug Pricing healthcare Hepatitis Hepatitis B Hepatitis C HIV HIV Prevention Insurers Medicaid NAIC PBMs PrEP Prescription Drugs Private Insurance Ryan White Program state Testing transparency Treatment Trump administration

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