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Tuesday, Dec 23 2014

Full Issue

Feds To Investigate If Insurers Discriminated Against Sick

The Obama administration said it had become aware of “discriminatory benefit designs” that discouraged people with costly chronic illnesses such as AIDS from enrolling because of age or medical condition, The New York Times reports. Also, a California group sues Aetna, alleging that requirements for mail-order drugs threaten patient privacy.

The Obama administration said Monday that it would investigate prescription drug coverage and other benefits offered by health insurance companies to see if they discriminated against people with AIDS, mental illness, diabetes or other costly chronic conditions. The administration said it had become aware of “discriminatory benefit designs” that discouraged people from enrolling because of age or medical condition. (Pear, 12/22)

A consumer group has sued the health insurer Aetna, claiming that it discriminated against patients with H.I.V. when it required them to obtain medications exclusively through its own mail-order pharmacy. The lawsuit, filed Friday in federal court in San Diego by the advocacy group Consumer Watchdog, argues that Aetna’s policy violates the new federal health care law, which prohibits insurers from discriminating against people based on medical condition. (Thomas, 12/22)

A consumer advocacy group has filed a class-action lawsuit against Aetna Inc. saying a new policy violates the privacy of people with HIV and AIDS by requiring them to get their medications from its mail-order pharmacy. Consumer Watchdog filed the lawsuit Friday in federal court in San Diego. It says sending the drugs through the mail puts privacy at risk because packages could end up at the wrong address or be seen by others. It also says the mail is not a reliable way to ensure people get their medications on time. (Watson, 12/22)

In addition, Marketplace looked at the steep rise in insurance premium prices --

In 1996, the average family premium ran just shy of $5,000. Adjust that $5,000 for inflation, and today it’s about $7,500. But healthcare premiums are a different story. The cost was a little more than $16,000 for a family, as of last year. (Gorenstein, 12/22)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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