Site Search

Share

X

Search Results

Survivor Views: Surprise Billing and Prescription Cost and Coverage Survey Findings Summary

... patients and survivors. In October 2019, Survivor Views conducted a cohort survey focused on their experiences accessing and paying for cancer care, including the cost of prescription drugs and their experiences receiving surprise bills. One thousand three hundred and ninety-two cohort ... confidence level. The research provides important insights into the experiences of cancer patients and survivors in accessing and affording health care and medication to treat their cancer or prevent it from returning.  Key Findings:  Key findings from the survey include: Nearly ... to try a less expensive drug first (also known as step therapy). Seventy-nine percent of respondents who reported a barrier experienced negative health or lifestyle consequences, including additional time spent resolving the issue, additional expense to obtain the drug, or difficulty ...

The Medicare Appeals Process: Reforms Needed to Ensure Beneficiary Access

... for a needed service or treatment, cancer patients face having to pay the full cost out of pocket or making the difficult decision to forego care that could save their lives.  To better understand how the Medicare program’s appeals process works for beneficiaries who have a history of ... or Part D plans) to override utilization management tools. Evidence suggests that plans’ initial denials are often overturned : In 2019, the Health and Human Services (HHS) Office of the Inspector General released a report on the Part D appeals process and found that enrollees and ... should be covered by Medicare or choose to forgo care altogether instead of appealing, which could have negative implications for their overall health and wellbeing.    The Medicare Appeals Process: Reforms Needed to Ensure Beneficiary Access ...

Cancer Patients & Survivors Strongly Support Maintaining Funding for Medicaid and Protections for Preexisting Conditions

... all levels of government. Fielded January 9-26, 2025, our latest survey explores cancer patients’ and survivors’ perspectives on several key health policy questions related to Medicaid, marketplace health plans, and coverage for preexisting conditions. The web-based survey was conducted among 1,246n cancer patients and survivors nationwide who ... the federal government should reduce funding for Medicaid. Allowing More Non-ACA Plans in the Marketplace Would Cause Confusion The Affordable Care Act requires plans to cover certain Essential Health Benefits (like hospitalizations, prescription drugs, doctor’s visits). Some ...

Effective Policies Known to Prevent Tobacco Use and Address Tobacco-Related Disparities

... as much as 40 percent in parts of the South and Appalachia. [iii] Tobacco use has been found to be one of the primary drivers of cancer-related health disparities because its use disproportionately impacts people based on race, ethnicity, sexual orientation, gender identity, disability status, mental health, income level, education level, and geographic location. [iv] , [v] , [vi] Achieving health equity relies heavily on eliminating tobacco ... use. Our ability to continue to make progress against cancer relies heavily on eliminating the inequities that exist in cancer prevention and care. ACS CAN is pursuing fact-based tobacco control policies at the local, state and federal levels that aim to reduce disparities and improve ...

Black Men and Prostate Cancer

... or regional stages is around 100%. The Prostate-Specific Antigen Screening for High-risk Insured Men (PSA Screening for HIM) Act would require health insurance providers to cover prostate-specific antigen (PSA) blood tests for the highest risk patients at no cost.   Throughout this ... Mir, N., Peters, E., Tipirneni, R., & Politi, M. C. (2018). Access Is Necessary but Not Sufficient: Factors Influencing Delay and Avoidance of Health Care Services. MDM policy & practice, 3(1), 2381468318760298. https://doi.org/10.1177/2381468318760298 Black Men and Prostate Cancer ...

Renewing Your Medicaid Coverage

... the pandemic, Congress changed the rules to allow for continuous coverage protections for Medicaid enrollees. This helped people keep their health coverage without needing to re-enroll during a tough and uncertain time in our country. But as soon as April 1st, 2023, states can begin ... about the renewal process from your state Medicaid agency. Keep an eye out for any communications from your state Medicaid program or health plan regarding important steps to renew your coverage. This includes emails, letters, phone calls, texts, and website announcements. Your ... these protections over the height of the COVID-19 Pandemic, please share your story . We would like to know how having stable access to health care over the past three years impacted you and your loved ones. Visit our campaign page for more information . Renewing Your Medicaid Coverage ...

Step Therapy in Medicare Part D Oncology Drugs

Executive Summary Escalating drug costs in the United States are placing pressure on both the federal government and health plans to implement strategies aimed at controlling drug expenditures and optimizing utilization. Utilization management (UM) tactics are ...   SNPs provide the same Medicare Parts A and B coverage for beneficiaries as other MA plans but also offer tailored benefits and coordinated care for beneficiaries that have specific health conditions or meet other requirements. Step Therapy in Medicare Part D Oncology Drugs ...

Survivor Views: One in Ten Impacted by Recent Drug Shortages

... drug shortages at 22%. Among those who have been impacted by drug shortages in the past year, 57% say the shortage was related to their cancer care, including medications to treat cancer as well as its side effects and complications. Nearly a third of those experiencing drug shortages ... that they would otherwise have addressed in an office visit. While most of those telehealth visits (78%) took place during the Covid-19 Public Health Emergency (PHE), the number reporting telehealth visits conducted outside of the PHE climbed from 15% prior to the PHE to 40% who have ... to have telehealth visits since the end of the PHE in May 2023. Forty-two percent say they plan to continue using telehealth visits with health care providers about issues related to their cancer.     Fifteen percent of those surveyed have seen a provider located in a different ...

Survivor Views: Copay Assistance and Patient Navigation

... note at end). The margin of sampling error associated with a sample of this size is +/-2.8% at a 95% confidence level.  Key Findings: Cancer care is expensive and prescription drug costs are a challenge for nearly one-third of cancer patients and survivors (31%), with one-fifth having ... the survey. For this survey, a patient navigator was defined as follows: “Patient navigators help guide patients through the often-complicated health care system with the resources they need to get care. A patient navigator helps patients communicate with their healthcare providers so they get the information they need to make decisions about their health care. Patient navigators may also help patients set up appointments for doctor visits and medical tests and get financial, legal, and social ...

Smoke-free Laws: Everyone Has the Right to Breathe Clean, Smoke-free Air

... exposure to secondhand smoke increases lung cancer risk by about 20%. [vii] Secondhand smoke can also cause or exacerbate a wide range of other health issues, including cardiovascular disease, stroke, respiratory infections and asthma. The lack of comprehensive tobacco control laws contributes to tobacco-related health disparities or worse health outcomes that include various types of cancers, disease, disability, and premature death. [viii]     Current ... encourage and increase smoking cessation success among adults trying to quit [xv] , [xvi] , [xvii] , [xviii] , [xix] , [xx] and reduce health care, cleaning and lost productivity costs. [xxi] Smoke-free laws also have been proven to reduce the incidence of coronary events among people ...

Type

Priority Issue

State

Policy Issue

Judicial Advocacy