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Study: Info on drug coverage missing from Obamacare plans
The Hill ^ | April 28, 2014 | Ferdous Al-Faruque

Posted on 04/28/2014 12:28:06 PM PDT by Cincinatus' Wife

Nearly half of plans available through Obamacare’s state and federal insurance exchanges didn’t list what drugs patients had access to or made that information difficult to find on their websites, according to a new survey.

The study, conducted by Avalere Health, analyzed consumer experience on Healthcare.gov in five states and another 12 state-run insurance exchanges. In 38 percent of cases, plans did not include a drug formulary, a list of covered medications. In another 11 percent of cases, the list of covered drugs was “difficult” or “very difficult” for consumers to find.

The study is likely to spur criticism that the exchanges failed to provide consumers signing up for or changing coverage with enough information.

Avalere said the missing formularies presented “significant obstacles” and highlighted the lack of transparency for people seeking insurance through ObamaCare.

Plans that had drug formularies but were difficult to access often required consumers to exit HealthCare.gov or the state exchange site and visit the insurance provider’s own site, adding an additional hurdle to the process.

“Providing understandable and accessible information about the providers and drugs included in exchange plans is essential to helping enrollees make informed purchasing decisions that balance premium against scope of coverage,” wrote Caroline Pearson, vice president at Avalere Heath.

She expressed hope the report would lead to changes to help consumers during future enrollment periods.

The study did find that provider network directories, which provided lists of medical facilities, doctors and health care professionals, were easier for consumers to access. Those lists were either “moderately” accessible or “very” accessible in 76 percent of cases. However, 16 percent of plans did not include those lists.


TOPICS: Business/Economy; Crime/Corruption; Extended News; Government
KEYWORDS: aca; healthcare; obamacare

1 posted on 04/28/2014 12:28:06 PM PDT by Cincinatus' Wife
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To: Cincinatus' Wife

Well. We’ve all read it. At least now we’re finding out what’s in it. The middle finger on every page.


2 posted on 04/28/2014 12:32:19 PM PDT by albie
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To: Cincinatus' Wife
What drug coverage?
3 posted on 04/28/2014 12:34:43 PM PDT by E. Pluribus Unum ("The more numerous the laws, the more corrupt the government." --Tacitus)
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To: Cincinatus' Wife

Obamacare has NEVER been about healthcare. Just the Marxist takeover it mainly enables. Don’t expect anything that resembles a system that cares about your health.

Votes and power.


4 posted on 04/28/2014 12:43:55 PM PDT by EagleUSA
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To: Cincinatus' Wife

The study did find that provider network directories, which provided lists of medical facilities, doctors and health care professionals, were easier for consumers to access. Those lists were either “moderately” accessible or “very” accessible in 76 percent of cases. However, 16 percent of plans did not include those lists.


Not mentioned is that many of those provider network lists were wrong, exaggerating both the number of doctors associated with the plans, and which ones were actually accepting patients.


5 posted on 04/28/2014 3:37:17 PM PDT by lepton ("It is useless to attempt to reason a man out of a thing he was never reasoned into"--Jonathan Swift)
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To: Cincinatus' Wife

At least in some cases this is probably fraud. It would be great to see local prosecutors around the country issue indictments and require bureaucrats and insurance executives appear in local courts.


6 posted on 04/28/2014 5:07:02 PM PDT by Brad from Tennessee (A politician can't give you anything he hasn't first stolen from you.)
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To: Cincinatus' Wife

I clicked the link and got a 404, was item removed?


7 posted on 04/28/2014 5:09:43 PM PDT by dforest
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To: dforest; All

I found it. The Hill moved it from “policy/healthcare”

http://thehill.com/policy/healthcare/204569-study-info-on-drug-coverage-missing-from-obamacare-plans

to “business-a-lobbying”

http://thehill.com/business-a-lobbying/204563-study-details-on-drug-coverage-missing-from-obamacare-websites

AND they changed the title from:

“Study: Info on drug coverage missing from Obamacare plans”

to

“Study: Details on drug coverage missing from Obamacare websites”


8 posted on 04/29/2014 2:19:52 AM PDT by Cincinatus' Wife
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