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Recursion

(56,582 posts)
Mon Nov 4, 2013, 02:33 AM Nov 2013

If Big Pharma likes your health plan, you can keep it (conservative op-ed)

It is interesting to see this attack coming from the right (and FWIW, Carney is consistently against corporate welfare).

EDIT: (d'oh! link here: http://washingtonexaminer.com/if-big-pharma-likes-your-healthcare-plan-you-can-keep-it/article/2538357#.UncsIb3ITxs.facebook )

If your health insurance plan was cancelled, or if your premiums jump more than normal, you shouldn't just blame President Obama and Congress. You should also blame the industries who lobbied to force you to buy insurance for their products.

...

HHS's first proposed rule on prescription drug coverage required insurers to cover at least one drug in every class of drug — in short, one drug for cholesterol, one drug for epilepsy, etc. Drugmakers wanted more. Led by the lobby group Pharmaceutical Research and Manufacturers of America, the industry argued that HHS should require all insurers to not only cover one drug per class, but also to match the benchmark plan in their state.

And Big Pharma won. HHS’s final rule, issued in late November 2012, required all plans to cover “the greater of” one drug per class or whatever the state’s benchmark plan covers.

So if your insurance plan met state mandates and covered one or more drug per class, it still might be illegal if it didn’t cover as much as the “benchmark” insurance plan. PhRMA and its member companies like Eli Lilly and Pfizer care about this in part because more bare-bones prescription drug plans may cover only generic drugs and not the more costly name brand drugs covered by the benchmark plans.
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