8/31/2023 0 Comments Enbrel copay card maximum benefitOn a federal level, the Arthritis Foundation, alongside coalition partners, engaged with the Department of Health &Human Services (HHS) during the 20 Federal Exchange rules, urging HHS to prohibit accumulator programs when there is no generic alternative.The legislation enacted in these states will serve as model language in future legislative sessions around the country. On a state level, legislation has been enacted in Virginia, West Virginia, Illinois, Arizona and Georgia.Specifically, the Arthritis Foundation has led and/or has been involved in efforts to educate legislative leadership in all 50 states as well as all 50 state insurance commissioners.The Arthritis Foundation sits on the steering committee for the ACCC and co-chairs the state subgroup. The All Co-pays Count Coalition (ACCC) was formed to provide a collaboration amongst the patient and provider community around legislative and patient education efforts on a federal and state level.*Source: American Journal of Managed Care, Impact of a Co-pay Accumulator Adjustment Program on Specialty Drug Adherence In another recent employer survey, 54% of respondents did not credit third-party co-pay assistance toward patient deductibles.* In a recent survey of employers, nearly 30% implemented a CAAP for 2019 and 21% were contemplating one for 2020 or 2021. Among these individuals, 59% reported that they can use it to pay for their deductibles, 27% reported they can’t use it for their deductible and 14% reported that they don’t know.
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