Case Study

The article we are using for our case study can be related to most of the article covered in class but is most in line with the 'What Matters Most' article. Insurance companies have to choose what procedures and medications are covered for insurance companies to remain profitable. The healthy insuree who utilize the plan less are helping to fund those who have higher use of these policies. In the U.S., 1.2M people live with HIV, and a bill in California was set to go into effect at the begging of 2017 to limit the co-pay of insurance for this medication to $250 for single-pill HIV treatment (McMenamin et al., 2017). In our article What Matters Most, the same concept applied. The patients were looking for an understanding of their health plans, so they knew what was covered. Our article talked about how the insurance companies worked with the plan subscriber to better understand their needs, as the Governor of California to ensure patients have affordable access to medications. If the patient does not have affordable access to medication, this leads to over-usage of the emergency systems and urgent care.

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