5. February 2010 23:05
For anyone that is familiar with our EquivaMeds service over the past 3+ years, you know we quote from Kaiser Family Foundation quite a bit. I find their research and analysis on health care issues to be fair and pretty illuminating at times.
Each year they put out new research on the state of health insurance in America; how many have it or do not, where people get it from, broken down by policy type, how much you pay, co-pay, coinsurance, yadda yadda yadda.
And if you follow this and other stories out there you see co-pay costs going up each year. It started about 10 or so years ago, remember? Back then we all had three tier formularies that started at $5 or $10 and grew to maybe $30.
The something called “cost shifting” came to play and you saw those numbers go up and the difference between tiers grow wider. For our insurance this year, that means a $20 tier 1, $50 tier 2 and, gulp, $70 tier 3. Not to mention that there are more exclusions on our formulary than ever before. What’s an exclusion? Believe me, you will be hearing more and more about them going forward.
This is why we build EquivaMeds years ago, to try to find options, and why we rolled out BetterRxCard last year. But in the interest of providing a valuable resource and not just a marketing blog, I wanted to bring your attention to this article from Lisa Zamosky. It emphasizes some of the things I’ve tweeted and may have blogged on in the past, but goes beyond by talking about PAP programs and a useful web site to help get a handle on drug pricing.