ACA question..

[Hoyt]

6. I'd research the two drugs and appeal if there is a compelling reason to use the more expensive one.

Last edited Wed Nov 27, 2013, 01:58 PM - Edit history (1)

One of the problems with our health care system is that there are very expensive drugs which do little more than much cheaper, older drugs. For example, some older drugs you have to taken twice a day. A drug manufacturer then produces basically the same drug that is time-released such that only one is needed, but it costs 5 times the older drug.

Pharmaceutical companies pay pretty people to meet with doctors and push their more expensive drugs. Sometimes the detail reps provide good info, sometimes they are just inflating the cost of health care.

As patients we can do our part to help control health care costs. One good thing under ACA is the insurance companies no longer get to pocket all savings under the Medical Loss Ratio provisions.