IN THE NEWS

Patients already paying price for PBMs diverting copay cash meant for needy

Patients already paying price for PBMs diverting copay cash meant for needy
July 21, 2023

COLUMBUS, Ohio (WSYX) — Shawna Landaker was worried about her husband, Doug. The high-school sweethearts were happily settled with their two children in a bucolic new home on her family’s old farm near Waterford, about 20 miles up the Muskingum River from Marietta.

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Billions meant to help Americans afford drugs being diverted to boost profits

Billions meant to help Americans afford drugs being diverted to boost profits
July 20, 2023

COLUMBUS, Ohio (WSYX) — You’ve probably heard it in those pervasive TV ads for expensive prescription drugs: If you need financial help, we can provide it. But in the second part of the ABC 6 On Your Side web series on hidden reasons for high drug costs, we’ll show you why you may never see…

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We sought a cause of death for HB 135. We found it … and a whole lot more

We sought a cause of death for HB 135. We found it … and a whole lot more
July 19, 2023

COLUMBUS, Ohio (WSYX) — When a bill designed to cut drug prices for many Ohioans won unanimous approval in the House last year, the bipartisan measure with 60 co-sponsors seemed a good bet to become law. But House Bill 135 didn’t even get a hearing in the Senate until nearly eight months later. It quietly…

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Law would help those fighting deadly diseases tackle out-of-pocket costs

Law would help those fighting deadly diseases tackle out-of-pocket costs
September 20, 2022

Annie J. Ross-Womack Dispatch.com “For many patients, medicine would be unobtainable without assistance from third parties such as charities, churches, and drug manufacturer assistance programs,” Annie J. Ross-Womack Sickle cell disease is an inherited, rare, painful, and debilitating condition that affects thousands of Ohioans. Ohioans living with SCD are supported by a state program first…

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General Assembly should aid Ohio patients by stopping co-pay manipulation on expensive treatments: Elisabeth S. Roter

General Assembly should aid Ohio patients by stopping co-pay manipulation on expensive treatments: Elisabeth S. Roter
September 18, 2022

Dr. Elisabeth S. Roter Cleveland.com Approximately one in four Ohioans live with arthritis – a painful and often debilitating condition that can be expensive to treat. Unfortunately, a policy too often used by health insurers is preventing thousands of Ohioans from being able to afford the medications that can help ease their pain. There is…

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Attorney General seeks financial info from Medicaid contractors  Investigation might focus on possible law violations

Attorney General seeks financial info from Medicaid contractors Investigation might focus on possible law violations
March 11, 2022

In the past month, Ohio Attorney General Dave Yost has sought financial information from the state’s five managed-care contractors, documents received in response to an open-records request show. The AG won’t discuss ongoing investigations, but he might be looking into whether some practices by subcontractors who manage pharmacy benefits violate state law or federal regulations.

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Bill to ban limits on prescription drug co-pay help remains stalled in Ohio House

Bill to ban limits on prescription drug co-pay help remains stalled in Ohio House
March 10, 2022

Sara Sharpe, 34, has a pretty basic wish: She doesn’t want to suffer a potentially fatal allergic reaction “because of insurance company paperwork” foul-ups. She is one of millions nationwide caught up in a money-saving move by health insurance companies with the unwieldy name of “co-pay accumulators.” People in this diverse group, many suffering from rare diseases, are casualties of…

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Report: Medicare drug reforms would save seniors billions

Report: Medicare drug reforms would save seniors billions
March 10, 2022

There’s been a lot of talk about ways to reduce the cost of prescription drugs. In last week’s State of the Union Address, for example, President Joe Biden proposed allowing Medicare to negotiate directly with drugmakers in an attempt to bring prices down.

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For one drug at least, biggest insurers force Medicare patients to buy the most expensive

For one drug at least, biggest insurers force Medicare patients to buy the most expensive
December 7, 2021

In theory, the point of managed care is to save money by negotiating with providers for lower prices. So it would seem that the biggest managed-care providers would use their clout to negotiate the lowest prices from doctors and hospitals and for medicine…

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