- Center on Health Equity & Access
- Clinical
- Health Care Cost
- Health Care Delivery
- Insurance
- Policy
- Technology
- Value-Based Care
Medicare Offers Relief to 400,000 Caught in Aetna Pharmacy Network Mix-Ups
More than 400,000 Medicare beneficiaries who may have been confused or misinformed about the pharmacy details of their 2015 Aetna prescription drug plans have until the end of this month to find participating pharmacies or switch plans, according to CMS.
More than 400,000 Medicare beneficiaries who may have been confused or misinformed about the pharmacy details of their 2015 Aetna prescription drug plans have until the end of this month to find participating pharmacies or switch plans, according to CMS.
The kerfuffle highlights the growing complexity of many Medicare prescription drug plans, policy experts say. Today, in the majority of plans, beneficiaries who want to keep their out-of-pocket costs as low as possible have to contend not only with whether a pharmacy is in a plan’s network. But they also generally have to make sure that their pharmacy is part of the “preferred” network set up by the insurer to get the lowest cost-sharing.
Read more at Kaiser Health News: http://bit.ly/1z7Qvwx
Price Transparency With Gaps: Assessing the Completeness of Payer Transparency in Coverage Data
December 9th 2025In analyzing 2025 Transparency in Coverage (TIC) files from national insurers, the authors found vast payer-level differences; overall, physician/outpatient data were more complete, and hospital inpatient data were less complete.
Read More
