Access to Health Care

Access to Health Care

ACS CAN advocates for policies that provide access to treatments and services people with cancer need for their care - including those who may be newly diagnosed, in active treatment and cancer survivors.

Access to Health Care Resources:

Medicaid Expansion & The End of Continuous Coverage in Texas

May 4, 2023

What does unwinding continuous coverage have to do with Medicaid expansion?

During the pandemic, Congress put in place continuous coverage protections to ensure that Medicaid enrollees were able to keep their health coverage without needing to re-enroll.

Medicaid Expansion & The End of Continuous Coverage in Tennessee

May 3, 2023

What does unwinding continuous coverage have to do with Medicaid expansion?

During the pandemic, Congress put in place continuous coverage protections to ensure that Medicaid enrollees were able to keep their health coverage without needing to re-enroll.

Medicaid Expansion & The End of Continuous Coverage in South Carolina

May 3, 2023

What does unwinding continuous coverage have to do with Medicaid expansion?

During the pandemic, Congress put in place continuous coverage protections to ensure that Medicaid enrollees were able to keep their health coverage without needing to re-enroll.

Medicaid Expansion & The End of Continuous Coverage in North Carolina

May 3, 2023

What does unwinding continuous coverage have to do with Medicaid expansion?

During the pandemic, Congress put in place continuous coverage protections to ensure that Medicaid enrollees were able to keep their health coverage without needing to re-enroll.

Medicaid Expansion & The End of Continuous Coverage in Mississippi

May 3, 2023

What does unwinding continuous coverage have to do with Medicaid expansion?

During the pandemic, Congress put in place continuous coverage protections to ensure that Medicaid enrollees were able to keep their health coverage without needing to re-enroll.

Medicaid Expansion & The End of Continuous Coverage in Kansas

May 3, 2023

What does unwinding continuous coverage have to do with Medicaid expansion?

During the pandemic, Congress put in place continuous coverage protections to ensure that Medicaid enrollees were able to keep their health coverage without needing to re-enroll.

Medicaid Expansion & The End of Continuous Coverage in Florida

May 3, 2023

What does unwinding continuous coverage have to do with Medicaid expansion?

During the pandemic, Congress put in place continuous coverage protections to ensure that Medicaid enrollees were able to keep their health coverage without needing to re-enroll.

Medicaid Expansion & The End of Continuous Coverage in Georgia

April 28, 2023

What does unwinding continuous coverage have to do with Medicaid expansion?

During the pandemic, Congress put in place continuous coverage protections to ensure that Medicaid enrollees were able to keep their health coverage without needing to re-enroll.

ACS CAN Comments on Rx Negotiation Implementation

April 14, 2023

ACS CAN provided the following comments to the Centers for Medicare and Medicaid Services on the Medicare Drug Price Negotiation Program: Initial Memorandum, Implementation of Sections 1191 – 1198 of the Social Security Act for Initial Price Applicability Year 2026.

Prescription Drug Affordability Resources:

Patient Assistance Programs

November 1, 2023

Patient Assistance Programs

Comments to CMS re: Medicare Drug Price Negotiation Program

September 12, 2023

Survivor Views: Copay Assistance and Patient Navigation

July 18, 2022

Prescription drug costs are a significant burden on cancer patients and survivors, sometimes even leading patients to miss or delay taking prescribed medications. The latest Survivor Views survey explores the role copay assistance programs can play in reducing this burden, and also addresses patient navigation and digital therapeutics.

Survivor Views: Affordability, Prescription Drugs, & Pain

December 15, 2021

A majority of cancer patients and survivors struggle to afford cancer care and over 80% have had to make financial sacrifices to cover their health care expenses. This survey also reveals ways that affordability concerns can negatively impact care and treatment, and explores issues related to prescription drug coverage and pain management options.

Some Patients Lack Access to Lower-cost Drug Alternatives

November 3, 2020

Many cancer patients take multiple drugs as part of their treatment – often for many months or years. While drugs are not the only costly part of cancer treatment, finding ways to reduce these costs for patients and payers will significantly reduce the overall cost burden of cancer.

Survivor Views: Surprise Billing and Prescription Cost and Coverage Survey Findings Summary

December 4, 2019

This Survivor Views survey examined access to and affordability of cancer care. Survivors report insurance-related barriers to obtaining prescriptions, and lower-income respondents in particular have difficulty affording them. 24% of respondents have received a surprise medical bill, 60% of which were more than $500.

Understanding Biologic and Biosimilar Drugs

July 27, 2018

Biological drugs, commonly referred to as biologics, are a class of drugs that are produced using a living system, such as a microorganism, plant cell, or animal cell. Like all drugs, biologics are regulated by the United States Food and Drug Administration (FDA).

Formulary Transparency Helps Cancer Patients

October 6, 2017

For an individual with specific health care needs – like cancer patients and survivors – the drugs covered by a health plan and corresponding cost sharing for each drug is important information when choosing health insurance. However, to make an informed choice, formulary information must be disclosed to the individual.

Private Health Insurance Resources:

ACS CAN Comments on Association Health Plan proposed rule

February 21, 2024

More than 2 million Americans will be diagnosed with cancer this year and more than 18 million Americans living today have a history of cancer. Having comprehensive and affordable health insurance coverage is a key determinant for surviving cancer.

ACS CAN Comments on 2025 Notice of Benefit and Payment Parameters Rule

January 9, 2024

More than 1.9 million Americans will be diagnosed with cancer this year and more than 18 million Americans living today have a history of cancer.[1] For these individuals finding the right doctor is one of the most important factors in t

ACS CAN comments on Right of Conscience Proposed Rule

June 21, 2023

Every person regardless of their race, color, national origin, gender identiy, sexual orientation, age or disability deserves to be given equal access to timely, quality, comprehensive health care without discrimination.

Post Braidwood Coverage of USPSTF Recommendations

April 25, 2023

On Thursday, March 30, 2023, Judge O’Connor released a final opinion on remedies in Braidwood Management vs.

Survivor Views: Open Enrollment

February 16, 2023

Cancer patients and survivors must balance reducing their health care costs with ensuring they have comprehensive coverage of services, treatments, and care providers.

ACS CAN Comments re: Virginia 1332 Reinsurance Waiver

February 25, 2022

ACS CAN Comments re: 2023 Notice of Benefit and Payment Parameters

January 27, 2022

ACS CAN submitted comments regarding marketplace insurance plans and requirements for plan year 2023.

ACS CAN comments re: Agent and Broker Disclosures

October 14, 2021

High Deductible Health Plans, Health Savings Accounts and Cancer Patients

November 10, 2020

High deductible health plans (HDHPs) and health savings accounts (HSAs) are becoming more common in employer-sponsored insurance and the individual and small group markets. These types of plans have risks and features must be implemented carefully so they do not harm cancer patients, survivors or those at risk for cancer.

Costs and Barriers to Care Resources:

Cancer Patients Need Access to Comprehensive Health Insurance

January 10, 2017

Consumers need access to health insurance policies that cover a full range of evidence-based health care services – including prevention and primary care – necessary to maintain health, avoid disease, overcome acute illness and live with chronic disease. Any health care system that works for cancer patients must have standards ensuring that enrollees have access to comprehensive health insurance.

Bans on Lifetime and Annual Cost Caps Protect Cancer Patients

January 9, 2017

Current federal requirements prohibit most insurance plans from limiting both the lifetime and annual dollar value of benefits. This ban is one of several important patient protections that must be part of any health care system that works for cancer patients.

ACS CAN comments on 2015 Edition EHR Standards and Certification Criteria Proposed Rule

August 10, 2016

ACS CAN comments on 2015 Edition EHR Standards and Certification Criteria Proposed Rule

Medicaid Resources:

ACS CAN's comments re: Montana’s Medicaid Section 1115 Demonstration

October 15, 2021

ACS CAN Comments re: TN 1115 Medicaid Waiver

September 9, 2021

ACS CAN submitted comments opposing Tennessee's proposal to fund its Medicaid program through a block grant and implement a closed formulary.

ACS CAN Comments to CMS re: OK 1115 Waiver

April 20, 2021

ACS CAN comments supporting Medicaid expansion in Oklahoma, but opposing their proposal to rescind retroactive eligibility

Medicaid Section 1115 Research and Demonstration Waivers

January 10, 2020

An increasing number of states are seeking greater flexibility in administering their Medicaid programs. The Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS) give states the opportunity to test innovative or alternative approaches to providing health care coverage to their Medicaid populations through Section 1115 Research and Demonstration Waivers (otherwise known as "1115 waivers"). States must demonstrate that their waivers promote the objectives of the Medicaid and Children’s Health Insurance Programs (CHIP) and CMS must use general criteria to determine whether the objectives of the Medicaid/CHIP programs are met.

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