Insurance Coupon Accumulators

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Co-pay accumulators: A force to be reckoned with in 2019 ...

(4 months ago) Generic option or no, for PBMs and payers the outcome is the same. Coupon cards force them to cover more medications, often pricey specialty ones, by maxing out patients’ deductibles. Once one insurance company rolled out this [co-pay accumulator] program, all the major PBMs did exactly the same thing.

https://www.mmm-online.com/home/channel/commercial/co-pay-accumulators-a-force-to-be-reckoned-with-in-2019/

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Using Prescription Coupons Is Raising Some Patients ...

(13 days ago) The result, as with accumulators, is that PBMs reduce their financial liability by leveraging the value of the coupon and the beneficiary cost-sharing amounts. In short, maximizers raise copays ...

https://observer.com/2019/05/prescription-coupons-insurance-copay-maximizer-accumulator/

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They're called 'co-pay accumulators,' and they're a way ...

(1 year ago) Are co-pay accumulators a response to crazy-high drug prices, or are drug companies' coupon programs a response to crazy-high deductibles and co-pays? For most patients, it's a meaningless question.

https://www.latimes.com/business/lazarus/la-fi-lazarus-healthcare-copay-accumulators-20180427-story.html

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Assessing the Legal and Practical Implications of Copay ...

(2 days ago) Drug manufacturers have relied on coupons to promote access to branded drugs by reducing patients’ out-of-pocket costs. Insurers and PBMs, on the other hand, have opposed coupons because they Assessing the Legal and Practical Implications of Copay Accumulator and Maximizer Programs | Managed Care magazine

https://www.managedcaremag.com/archives/2019/2/assessing-legal-and-practical-implications-copay-accumulator-and-maximizer-programs

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Copay Accumulators: The Deductible Double-Dip | Managed ...

(5 days ago) Though branded with a new title, this double-dip is hardly new. In fact, payers argue that the accumulators are no different in intention from manufacturers utilizing copay coupons to maintain high drug prices. Per the payers, coupons were pharma’s way of encouraging use of high priced drugs without having to lower costs.

https://www.managedcaremag.com/pharmdcorner/copay-accumulators-deductible-double-dip

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Copay Accumulators: Costly Consequences of a New Cost ...

(1 year ago) As I see it, insurance should offer protection if you are unfortunate enough to require treatment for a rare and serious condition. It’s therefore hard not to see copay accumulators as blatant discrimination against patients undergoing intensive therapies for such chronic, complex illnesses as cancer, rheumatoid arthritis, multiple sclerosis, and HIV.

https://www.drugchannels.net/2018/01/copay-accumulators-costly-consequences.html

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Understanding copay accumulator adjuster programs: How ...

(4 days ago) What is a copay accumulator adjuster program? These health insurance programs affect people who use drug copay cards (cards usually given by a drug manufacturer to help reduce the cost of taking the medication) by not counting the payment that these cards assist with toward the deductible set by the insurance company. This is exactly what […]

https://www.50statenetwork.org/copay-accumulator/

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CMS to allow copay accumulators, cut exchange user fees

(16 days ago) The CMS finalized a rule to prevent drug manufacturer coupons from applying to a patient's out-of-pocket cost limit if a generic drug is available. CMS to allow copay accumulators, cut exchange ...

https://www.modernhealthcare.com/insurance/cms-allow-copay-accumulators-cut-exchange-user-fees

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Dealing with Insurers’ Copay Accumulators – PM360

(5 days ago) Over the past couple of years, more and more insurers have started to implement copay accumulator programs which track the use of copay coupons or patient assistance programs offered by pharma manufacturers in order to ensure that these discounts no longer count towards a patient’s deductible.

https://www.pm360online.com/dealing-with-insurers-copay-accumulators/

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Virginia and West Virginia are first states to ban copay ...

(3 days ago) Virginia and West Virginia became the first states to ban an insurer practice that prevents drug manufacturer coupons and copay assistance from counting against a plan's deductible or out-of ...

https://www.modernhealthcare.com/insurance/virginia-and-west-virginia-are-first-states-ban-copay-accumulators

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Understanding Copay Accumulators - FamilyWize

(4 days ago) What is a Copay Accumulator? Many insurance companies are adding copay accumulators to their insurance plans. Ignoring the fancy name, this means that those plans will no longer count manufacturer coupons of any kind toward the patient’s deductible. This includes manufacturer copay assistance programs, copay cards, and more traditional ...

https://familywize.org/blog/understanding-copay-accumulators

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