Step therapy这也被称为“先失败”，是保险公司使用的一种工具，要求患者在获得医生最初开出的药物之前，先尝试一种较便宜的治疗方法或一系列治疗方法。过于繁重的步骤治疗要求可能会危及患者与提供者的关系，并不必要地延长无效治疗，阻止患者立即开始，或在某些情况下继续获得医生建议的最适当治疗。Continue readingImportance of Step Therapy Reform
A record number of individuals achieved the Arthritis Foundation’s highest advocacy honor in 2018 and became Platinum Ambassadors. At the2019 Advocacy Summit, March 11-12, in Washington, DC, participants will be able to connect with the 2018 cohort of 70 Platinum Ambassadors who will be recognized for their outstanding advocacy achievements on behalf of the arthritis community. Registration for the Advocacy Summit closes on February 4 –今天注册!Continue readingConnecting | More than Ever Before! Celebrating the Record Breaking 70 Platinum Ambassadors
Earlier this week, we held our first ever Platinum Ambassador Assembly in Washington, D.C. The Assembly is a meeting for our most highly engaged advocacy volunteers to hone their skills, meet other Platinum Ambassadors from around the country and share their stories with members of Congress. Our Junior Ambassadors and future leaders – volunteers committed to achieving Platinum Ambassador status in 2018 – were also in attendance to learn, share their stories and fight for the over 54 million Americans who are living with arthritis.
Continue readingPlatinum Ambassador Assembly – Highlights from Capitol Hill
On Wednesday, December 20, Congress passed the Tax Cuts and Jobs Act (TCJA). There were several health-related changes included in the legislation, such as a repeal of the Affordable Care Act’s individual mandate, and changes to the medical expenditure tax deduction. Below we explain the key health provisions that made it into the final law, how it may impact you, and what’s next.
Let’s start with the individual mandate.
Continue readingAnswering Your Questions About the New Tax Reform Legislation
On Thursday, October 12, 2017, the Administration took two actions on health care that could affect coverage for people who have health insurance through the exchanges.
President Trump signed an executive order that opens the door for the expansion of association health plans, which aren’t subject to the same level of patient protections as required by the Affordable Care Act (ACA). Second, the Administration announced the discontinuation of cost-sharing reduction payments, which are payments to health insurers that help reduce out-of-pocket costs for low income people who purchase insurance on the health exchanges.
The Senate is expected to open debate today on two bills that repeal and replace the Affordable Care Act. Tell your senator to vote no and work to write a health bill that serves patients!
Not getting health insurance because you have a pre-existing condition.
Thousands upon thousands of dollars in out-of-pocket costs every year with no end in sight.
Fear of reaching your maximum lifetime benefit because you take expensive drugs or had multiple surgeries and hospital stays.
This is what life looked like for many people before the Affordable Care Act (ACA) was passed into law in 2010. While the ACA is far from perfect, it offers critical protections like caps on annual out-of-pocket spending, a ban on lifetime coverage limits, a prohibition on pre-existing conditions exclusions and minimum essential health benefits like prescription drugs and hospitalizations.
From Kerry Wong
Nearly 10 years ago, I began feeling a variety of symptoms that didn’t seem to make much sense. I was exhausted and sore without doing anything strenuous, frequently weak, dizzy and nauseous. I couldn’t sleep.
On June 2, Colorado Governor John Hickenlooper signedSenate Bill 203 (SB 203)into law! This important bill stops insurance plans from requiring patients to go throughstep therapyfor their medication if they previously went through step therapy protocols with their current or former insurer.
It’s not uncommon for patients to change their insurance carriers. Sometimes it’s by choice, perhaps because they find a carrier that better suits their needs. Other times, it might be out of their control, like when their employment changes. Regardless of why carriers are changed, should patients be required to restart the utilization management process with their new insurance carrier, essentially starting over and potentially undoing years of effective and consistent care?Continue readingCalifornia Advocates Work for Passage of Bill That Will Improve Continuity of Care When Insurance Carrier Changes