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The Quiet Pay Cut: Rising Health Insurance Costs Are Eroding Worker Compensation
Rising employer premiums averaging 9.5% erode wages, forcing workers to delay care.

Travis Roppolo
Mar 157 min read


Warren and Hawley Want to Break Up Big Medicine
Break Up Big Medicine Act would force structural separation of insurers, PBMs, and pharmacies.

Travis Roppolo
Feb 228 min read


Third Wave of Medicare Drug Price Negotiation Adds More Potential Peril
Medicare drug negotiation's third wave includes Biktarvy, raising HIV treatment access concerns.

Ranier Simons
Feb 155 min read


ACA Subsidies in Limbo: What the Senate Framework Means for Patients
Enhanced ACA subsidies expired Jan 1; Senate framework proposes two-year extension with restrictions.

Travis Roppolo
Jan 116 min read
The Great European Drug Drought: What MFN Means for America
European price controls demonstrate MFN policy risks: delayed access, treatment rationing, and pharmaceutical innovation collapse.

Travis Roppolo
Sep 28, 20257 min read
September Shutdown Could Cripple Open Enrollment as HIV Patients Face Coverage Crisis
September government shutdown threatens healthcare systems during November open enrollment, risking coverage loss for 22 million Americans.

Travis Roppolo
Sep 21, 20255 min read
Most Favored Nation, Least Favored Patients
Most Favored Nation pricing threatens to import restrictive QALY-based frameworks that discriminate against expensive treatments.

Travis Roppolo
Aug 24, 20257 min read
Enhanced Premium Tax Credits Face Political Crossroads as Coverage Crisis Looms
Expiration of enhanced ACA subsidies threatens to increase premiums 75% and reduce marketplace enrollment by millions.

Travis Roppolo
Jul 27, 20256 min read
The High Cost of Middlemen Medicine
Pharmacy benefit managers extract billions while adding no value, increasing costs without improving patient access or health outcomes.

Travis Roppolo
May 11, 20256 min read
Mixed Signals - Trump's Drug Policy Undermines Its Own Goals
Trump administration's contradictory drug pricing policies undermine goals of affordability and innovation incentives.

Travis Roppolo
Apr 13, 20255 min read
Patients Still at Risk - The State of Copay Accumulator Adjustment Policies in 2025
Copay accumulator programs exclude patient assistance from deductibles, creating barriers to medication adherence and treatment.

Travis Roppolo
Mar 9, 20257 min read
FTC Exposes PBM Price Gouging of Specialty Generic Drugs
FTC investigation confirms pharmacy benefit managers extracted billions in excess revenue through specialty drug markup schemes.

Travis Roppolo
Jan 26, 20257 min read
When Algorithms Deny Care - The Insurance Industry's AI War Against Patients
Insurance companies deploy AI algorithms for automated prior authorization denials, restricting patient access to prescribed treatments.

Travis Roppolo
Jan 12, 20256 min read
Biden's Inaction Leaves Copay Assistance in Limbo
Federal policy failures on copay accumulator programs restrict patient assistance benefits.

Travis Roppolo
Oct 13, 20247 min read
FTC Sues Major PBMs for Unfair Practices Affecting Drug Costs
FTC complaint against major PBMs for anticompetitive rebating and insulin pricing.

Travis Roppolo
Oct 6, 20248 min read
How the IRA's Price Controls Could Backfire on Patients
Unintended consequences of Inflation Reduction Act drug pricing provisions.

Travis Roppolo
Jun 23, 20247 min read
Closing the EHB Loophole - Louisiana Leads, But National Action is Needed
Copay accumulator schemes and Essential Health Benefits loophole; Louisiana as model.

Travis Roppolo
Apr 14, 20247 min read
COST CONTAINMENT vs. CARE EQUALITY
How payor cost-containment strategies drive health disparities and limit care access.
Brandon M. Macsata
Mar 31, 20243 min read
Ripple Effect - How PBMs and Counterfeit Drugs Threaten Patients
PBM practices and supply chain vulnerabilities enable counterfeit drug distribution.

Travis Roppolo
Feb 18, 20248 min read
The Growing Burden of Medical Debt for Insured Americans
Rising medical debt burden among insured Americans and systemic causes.

Travis Roppolo
Jan 21, 20248 min read
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