Cost-sharing

Cost-sharing Archive

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April 8, 2019
National Health Law Program Comments on HHS Safe Harbor Rule for Outpatient Prescription Drugs
Wayne Turner and Hayley Penan Comments
The U.S. Department of Health and Human Services (HHS) proposed new regulations that would remove safe harbor protections for prescription drug rebates. Currently, rebates paid by manufacturers to Medicare Part D plans and Medicaid managed care organizations (MCOs), including pharmacy benefit managers (PBMs) are shielded from federal anti-kickback laws.…
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October 13, 2017
The Death of the ACA’s Cost-Sharing Reductions
Mara Youdelman Consumer Brochure
The White House Office of the Press Secretary on Oct. 13 announced the administration's decision to cancel upcoming payments of cost-sharing reductions. Cost-sharing reductions (CSRs) reduce health insurance premiums, cost-sharing and co-pays for individuals under 250% FPL. CSRs, along with APTCs, are critical to afford their medically necessary health…
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June 9, 2017
Protect Medi-Cal Funding Series, Medi-Cal Affordability
dfitzgerald Issue Brief
California's Medicaid program, Medi-Cal, promotes ensuring low-income residents and those mired in poverty are able to access quality health care. For example, California, has strong protections to restrict premiums and other cost barriers to health care for the state's most vulnerable populations. In the fifth Issue Brief of a…
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March 9, 2017
What Makes Medicaid, Medicaid? — Affordability
David Machledt Issue Brief
Medicaid includes provisions to ensure Medicaid beneficiaries are able to afford health care services. In this paper, Senior Policy Analyst David Machledt explains why cost sharing can discourage low-income individuals from seeking health care coverage, and the importance of Medicaid's protections against run away cost sharing mechanisms. Machledt notes that…
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February 27, 2017
Indiana Medicaid Demonstration Raises Concerns
David Machledt Issue Brief
Indiana expanded Medicaid through a demonstration waiver that some have lauded as a "potential model" for other states interested in expanding Medicaid. Senior Policy Analyst David Machledt, examining evaluations of Indiana's so-called Healthy Indiana Program, concludes that the state's Medicaid demonstration, so far, has generated plenty of confusion, but…
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December 19, 2016
Protect Medicaid Funding: Affordability, Issue 5 (Updated Feb. 2017)
David Machledt Issue Brief
This fifth issue in NHeLP's Protect Medicaid Funding series examines how critical Medicaid is to helping low-income individuals and underserved populations access quality health care, and how efforts to cut or cap funding of Medicaid would endanger that access, and worsen health outcomes for the most vulnerable. For example,…
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Cost-sharing Archive

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National Health Law Program Comments on HHS Safe Harbor Rule for Outpatient Prescription Drugs

The Death of the ACA’s Cost-Sharing Reductions

Protect Medi-Cal Funding Series, Medi-Cal Affordability

What Makes Medicaid, Medicaid? — Affordability

Indiana Medicaid Demonstration Raises Concerns

Protect Medicaid Funding: Affordability, Issue 5 (Updated Feb. 2017)