The Patients’ Access to Treatment Act (HR 1600) states that an insurance company cannot charge more for a drug that they place on a specialty tier than they charge for drugs placed on their non-preferred brand tier.
HFA is a member of the Coalition for Accessible Treatments,聽a coalition of patient advocacy groups that work together to help pass the Patients’ Access to Treatment Act.
HELPFUL RESOURCES |
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HFA Issue Brief on Specialty Tiers (Updated for 2016) |
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More information about H.R. 1600, the Patients’ Access to Treatment Act |
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Milliman Report, Specialty Tiers: Benefit Design Considerations for Medicare Part D This study performed by Milliman examines the use of specialty tiers in Medicare Part D plans. |
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Avalere Health Study The Avalere Health Study examines the impact of HR 460\, the Patient’s Access to Treatment Act. |