Author archive for lhigashi

By David GornA health insurer in Florida last week agreed to lower the price of some HIV medications, moving them from a specialty tier to a generic medication tier....The move by Aetna was prompted, in part, by a lawsuit filed by the National Health Law Program (NHLP, also known…

By Staff WriterIn comments filed on Tuesday, the nation's top consumer advocates praised the Office of the National Coordinator's (ONC's) draft Shared Nationwide Interoperability Roadmap for advancing full and equal interoperability, not just among health care providers but also between providers and patients and their family caregivers. The Consumer…

By Elana GordonAetna is changing the drug benefits in all of its individual health plans effective June 1, lowering the patient costs for HIV drugs....The National Health Law Program filed a federal complaint alleging insurers engaged in the practice called "adverse tiering" in Florida last year. The federal government…

By Heather CaspiDive Brief:Aetna has confirmed that beginning June 1, it is moving HIV drugs down from its priciest category of cost sharing, which required members to pay up to half the cost of these expensive drugs, running some members as much as $1,000 per month.Following allegations of discrimination…

By Harris MeyerThe U.S. Supreme Court has severely limited the ability of healthcare providers to sue state Medicaid agencies over the adequacy of rates. But in handing down that decision Tuesday, the high court seemed to flatly contradict itself on the power of the feds to tell states how…

WASHINGTON — Private health care providers cannot sue to force states to raise their Medicaid reimbursement rates to keep up with rising medical costs, the Supreme Court ruled Tuesday....Elizabeth Taylor, executive director for the National Health Law Program, which promotes medical care for low-income Americans, said the court's decision…