Coverage without Access: An Analysis of Exchange Plan Benefits for Certain Medicines

A central goal of the Affordable Care Act (ACA) was to expand access to insurance so patients, particularly those with chronic disease, could access the treatments and medicines they need. Recognizing that coverage would have limited value without basic access and affordability, the ACA included a non-discrimination provision, an out-of-pocket spending cap, mandatory coverage of “essential health benefits,” and financial assistance for low-income enrollees.

Affordable Care Act

The biopharmaceutical industry’s top priority is to provide patients with access to high quality medicines. The Patient Protection and Affordable Care Act offers many Americans the opportunity to purchase health coverage through the health insurance exchange. Unfortunately, health insurance exchange coverage may not be all that patients expected. High deductibles, cost-sharing, and restrictive formularies potentially put patient health at risk.

Measuring Generic Efficiency in Part D

WUSA Anita Brikman bio

WUSA Anchor Anita Brikman

Ms. Anita Brikman spearheads WUSA9’s health coverage, including daily “Health Alerts” and in-depth reports on breaking medical news, as well as research and clinical advances.

Testimony of Richard I. Smith Before The U.S. Senate Special Committee On Aging

MAY 22, 2013

Chairman Nelson, Ranking Member Collins, and Members of the Committee, thank you for inviting me to testify on the Medicare prescription drug program, also known as Part D.


Drug Discovery and Better Health

PhRMA’s Rick Smith Testifies Before the Senate Aging Committee

WASHINGTON, D.C. (May 22, 2013) – Richard Smith, Executive Vice President of Policy and Research at Pharmaceutical Research and Manufacturers of America (PhRMA), testified today in a hearing called “10 Years Later: A Look at the Medicare Prescription Drug Program,” hosted by the U.S. Senate’s Special Committee on Aging.

Harry and Louise Return to Health Care Reform Debate with a New Perspective

Washington, D.C. – Harry and Louise, the iconic middle class couple that helped to defeat the Clinton health care reform proposal, will be back on television – this time in support of health care reform.

Harry and Louise will be featured in a multi-million dollar television ad campaign, which will start this weekend and run for at least three weeks. The ad will appear on national cable and network news programs as well as the Sunday talk shows.

Impact of Restricted Drug Coverage

Partners for Healthy Dialogues

Glossary of Terms - Rare Diseases

acquired immune deficiency syndrome (AIDS)—A manifestation of infection with the human inimunodeficiency virus (HIV) characterized by the presence of one or more opportunistic diseases which occur primarily, or in some cases only, when an individual’s immune system function is defective.

adenocarcinoma—Cancer of glandular tissue, or tumor of which gland derived cells form glandlike structures.


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