Insurance reducing experimental drug coverage
Contemporary Long-Term Care Weekly, October 11, 2007
Health insurers are limiting coverage of high-cost specialty drugs in an effort to control healthcare expenses, according to the Wall Street Journal. Insurance officials explain that specialty drugs cost thousands of dollars for a relatively small portion of the population, and the
Insurers maintain they must control healthcare costs due to inflation and will only cover drugs the FDA has specifically approved as treatments or for which there is extensive clinical testing. Insurers do not have leverage when it comes to negotiating the prices of specialty drugs because they often extend lives and have little competition.
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