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A New Single-Tablet Option for HIV's "Forgotten Population" Could Change Lives. Will Policy Let It?
New Phase 3 data show a single-tablet regimen of bictegravir/lenacapavir could finally bring one-pill simplicity to long-term HIV survivors locked into complex regimens by decades of drug resistance. The science is closing the treatment gap. Will our policy systems do the same?

Travis Roppolo
Mar 309 min read


The False Economy of Rationing Life
States are rationing HIV medications through prior auth and formulary cuts to solve ADAP budget crises — a strategy that costs more, drives resistance, and concentrates harm on the most vulnerable.

Travis Roppolo
Mar 235 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


Equipping Patients with Tools to Reclaim the Promise of 340B
340B program drifted from patient benefit; federal reform needed for transparency and accountability.

Kalvin Pugh
Jan 184 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
340B - Are Patients at the Table or on the Menu? Reflections on the HELP Committee Hearing on 340B
Senate HELP Committee hearing reveals how 340B drug program expansion reflects hospital business strategy rather than patient benefit.

Travis Roppolo
Nov 2, 20254 min read
Federal Antitrust Retreat Threatens Patient Access
Trump administration's revocation of competition executive order accelerates healthcare consolidation and threatens patient access.

Travis Roppolo
Aug 31, 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
A Patient Advocate's Perspective - The Call of this Moment
Pugh reflects on 340B policy and patient advocacy in ensuring equitable medication access.

Kalvin Pugh
Nov 3, 20244 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
The Great Disenrollment - Examining Medicaid's Post-Pandemic Shift
Medicaid disenrollment during pandemic unwinding and impacts on vulnerable populations.

Travis Roppolo
Sep 29, 20248 min read
Ensuring Equitable Access to PrEP for Minors in the South
Barriers to PrEP access for minors in Southern states: legal and political obstacles.

Travis Roppolo
Sep 8, 20248 min read
Grindr Launches At-Home STI Testing Initiative
Grindr's at-home STI testing kits address barriers to sexual health testing.

Jonathan Sosa
Aug 18, 20243 min read
Together TakeMeHome - One Year of Progress
First year results of Together TakeMeHome HIV self-testing distribution program.

Travis Roppolo
Jul 21, 20247 min read
Prescription Drug Affordability Boards - A Threat to Ending the HIV Epidemic
Potential harms of state PDABs on HIV treatment access and ending the epidemic.

Travis Roppolo
Jun 30, 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
ADA & HIV Legal Protections
Analysis of ADA protections for PLWHA including workplace discrimination and HIV criminalization.

Travis Roppolo
May 26, 20247 min read


HIV/HCV Co-Infection Watch Q2: April 2024
Q2 2024 Watch: Prior authorization rollbacks in Medicaid HCV programs; ADAP and assistance program coverage.

Ranier Simons
Apr 28, 202424 min read
Dire Consequences of the Change Healthcare Cyberattack
Change Healthcare cyberattack impacts on medication access and healthcare consolidation risks.

Travis Roppolo
Mar 10, 20248 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
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