Health plans are finding loopholes in the Affordable Care Act and excluding some of the neediest patients, consumer groups say.
By Kimberly Leonard
A recent, highly publicized editorial is claiming that some insurance companies are not making cheaper alternatives to certain prescriptions available, causing some of the sickest – and therefore most expensive – patients in the system to either take on pricier health plans or go shopping elsewhere.
Obamacare was designed to abolish health insurance practices that excluded people with diagnoses such as cancer, HIV or hepatitis, as well as other pre-existing conditions. Taking advantage of loopholes is not illegal, but could undermine some of what was supposed to be the key triumphs of the law passed in 2010. “If [non-discrimination] provisions aren’t enforced then they really aren’t very useful,” says Abbi Coursolle, a staff attorney at the National Health Law Program. “Moves like this could exclude people who need care the most.” Read the full article here. »