Archive for category: Insurance

Understanding Copay Accumulators: Who Really Benefits?

Written by Angie Baker and Stef Parks, Leaders in Patient Access and Reimbursement As many drug manufacturers continue to develop new and innovative therapies for multiple disease states, we continue to see an evolution in the system through which payers (insurance companies/PBMs) use to process and pay claims. Copay...

Continue reading

BCBST: A Case Study for Trends in the Commercial Insurance Landscape

The following article is written by Marketing and Communications Coordinator, Cristina Threlkeld for the National Infusion Center Association. Patients rely on easy and affordable access to their medications. Prescribing clinicians and sites of treatment also rely on accessibility and the flexibility to obtain these medications in the most cost-effective...

Continue reading

Profits Over Patient Care: How PBMs Work Against the Patient by Julie Baak

From the Broomstick of Julie Baak Pharmacy Benefit Managers (PBM) are the middlemen that do none of the work and make most of the money. Fun Fact: PBMs have their MBAs tell MDs which drugs (formulary) they can prescribe based on how much money the PBM can make instead of clinical efficiency and the welfare...

Continue reading

Understanding Insurance Coverage & Cost-Share Assistance with Marissa Shackleton

Written by Marissa Shackleton, The Elliot Lewis Center, Wellesley, MA  As the Executive Director of a multiple sclerosis center, I believe medications should be accessible and affordable for patients. In order for infusion treatment to be accessible and affordable, patients should aim for a coordinated team approach with their...

Continue reading