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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
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
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
Alcohol Use Does Not Harm DAA Efficacy, Yet Payer Barriers Persist
Research proves alcohol doesn't reduce DAA efficacy for HCV, yet payers continue restricting treatment.

Travis Roppolo
Oct 8, 20233 min read
Payers Finally Facing Scrutiny for Denying Coverage
Payers face regulatory scrutiny for systematic coverage denials and prior authorization abuse.

Jen Laws
Aug 6, 20233 min read
Hepatitis C Medicaid Access Dashboard Provides 2023 Updates
HCV Medicaid Access dashboard 2023 update: progress in eliminating treatment restrictions by state.

Jen Laws
Mar 5, 20233 min read
Health Inequity: Barriers Caused by Abusive Payer Practices
Payers use prior authorization and step therapy to deny care, driving health disparities.

Jen Laws
Feb 12, 20236 min read
2023: Regulatory Items to Watch
Preview of 2023 federal regulatory priorities: Section 1557, IRA implementation, and prior authorization reform.

Jen Laws
Jan 8, 20239 min read
Advocates Gather to Discuss Pressing Healthcare Issues
ADAP Fireside Chat addresses counterfeit medications, 340B reform, and public health workforce sustainability.

Jen Laws
Oct 2, 20223 min read
Blame Payers for Only 1:3 Patients Receiving HCV Cure
Only 35% of privately insured and 23% of Medicaid patients initiate HCV treatment due to payer barriers.

Jen Laws
Aug 14, 20223 min read
Access Issues Remain: Protecting and Providing PrEP
PrEP access remains limited by payer practices like prior authorizations despite ACA coverage requirements.

Jen Laws
May 8, 20224 min read
Provider Survey: Prior Authorizations Harm Patients
AMA survey: 93% of providers say prior authorizations delay care with 91% reporting negative clinical impact.

Jen Laws
Apr 3, 20225 min read
Cabenuva Approved for 2 Month Injections; Insurers Remain a Barrier to Access
FDA extends Cabenuva to 2-month injections but insurance barriers continue to restrict patient access.

Jen Laws
Feb 13, 20224 min read
CMS Sides with the Devil: Insurers' Co-Pay Accumulators Remain…for Now
Examines CMS's rebate rule on copay accumulator programs that block patient assistance from counting toward deductibles.

Jen Laws
Jun 6, 20216 min read
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