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Tricking Consumers into Increased Health Care Costs (Guest: Stacey Worthy)

November 26, 2018

Aimed Alliance representative Stacey Worthy talks about the esoteric issue of co-pay accumulators that are sold as a way to control out-of-pocket expenses but in fact lead to increased costs to consumers and legal liabilities for employers.

Co-pay accumulators, sometimes referred to as the "deductible double dip," are programs that target specialty drugs with a copayment assistance from the manufacturer. The hitch? The manufacturer's assistance no longer counts toward the patient’s deductible under an accumulator plan, something many consumers are unaware of. Stacey Worthy of Aimed Alliance, a non-profit dedicated to informing consumers of health care intricacies they may be unaware of, talks about how consumers are used as pawns in the pricing battle between health insurance companies and pharmaceutical companies -- with the consumers coming out the losers.

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Health Care
Sarah Lee is a policy advisor for health care and a host of Heartland's Health Care News podcast.