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Research & Policy Updates

A pharmacist filling prescriptions.

In Their Own Words

Health Care Access & Coverage

Understanding CMS’s Proposed Rule Regarding Prior Authorization For Drugs

LDI Expert Considers Cost, Quality, and Access Implications

By:
  • Michael Anne Kyle PhD, RN
  • and Rachel Sachs, JD, MPH
August 5, 2026
A person stocking a shelf with medicines.

Blog Post

Health Care Access & Coverage

Congress is Fighting the Wrong Pharmacy Battle

Better Plan Choices Would Lower Drug Costs, Not PBM Breakups, LDI’s Mark Pauly Says

By:
  • Mark V. Pauly, PhD
August 4, 2026
An infant held by their mother getting a check up by a doctor.

Blog Post

Health Care Access & Coverage

Why Some Family Health Insurance Is Now Much Pricier

LDI Expert Proposes Fixes to Keep Marketplace Plans Within Families' Budgets

By:
  • Julia Hinckley, JD
July 30, 2026
A line graph titled "Percentage of Drugs Subject to Coverage Restrictions (2011-2019)." The x-axis represents each year between 2011 and 2019 and the y-axis represents 0-100% of drugs subject to coverage restrictions. The percentage of drugs excluded from formularies, drugs with administrative restrictions, and any coverage restriction increased over the study period. The percentage of drugs placed on the nonpreferred tier decreased over the study period.

Blog Post

Health Care Access & Coverage

Despite Coverage Requirements, Insurers Added Barriers to Access for Drugs

Chart of the Day: Medicare, Medicaid, and Insurers Replaced High Costs With More Hurdles, LDI Expert Finds

By:
  • Christine Weeks
July 8, 2026
Blue bar charts showing difference in drug prices.

Blog Post

Health Care Access & Coverage

Cost Plus Drugs Beats Health Insurance for High-Cost Generics

Chart of the Day: Mark Cuban's Cost Plus Drugs Can Save Employer-Covered Patients Hundreds on Some Generics

By:
  • Karl Stark
June 1, 2026

News

Health Care Access & Coverage

Debate Continues Over H.R. 1 Medicaid Changes as Millions Risk Losing Coverage

Will Implementation Create Sweeping Losses or a Return to Balance and Self-Sufficiency?

By:
  • Hoag Levins
May 7, 2026
A provider treating a patient's elbow pain, with the elbow shaded in red to indicate pain.

In Their Own Words

Health Care Access & Coverage

Insurers Should Incentivize Non-Drug Treatments for Chronic Pain

An LDI Fellow and Chronic Pain Researcher Call on Health Plans To Lower Barriers to Physical Therapy, Acupuncture, and Interdisciplinary Pain Care

By:
  • Molly Candon, PhD
  • and Daniel Clauw, MD
March 24, 2026
Penn LDI Medicaid Disenrollment Graphic

Blog Post

Health Care Access & Coverage

Medicaid Reviews May Disenroll Vulnerable Dual Eligibles

Chart of the Day: Researchers Urge Easier Renewals and Better Support To Prevent Gaps in Care

By:
  • Julia Hinckley, JD
March 4, 2026
SSDI Application

Blog Post

Health Care Access & Coverage

New Study Reveals Death Rates During SSDI’s 24-Month Wait for Medicare

While They Wait for Medicare, People Approved for Social Security Disability Die at Higher Rates Compared to the General Public

By:
  • Afrah Howlader, MPH
  • Christine Weeks
March 3, 2026
An African-American toddler and his mother at the pediatrician's office.

In Their Own Words

Health Care Access & Coverage

How Parents Can Prepare for Major Medicaid Changes

Two Pediatricians Share Key Dates and Practical Next Steps

By:
  • Elizabeth (Betsy) Salazar, MD, MSHP
  • Diana Montoya-Williams, MD, MSHP
February 11, 2026
Prescription medication pills from a bottle on a $10 bill.

In Their Own Words

Health Care Access & Coverage

Medicare’s Hidden Fix for High Drug Costs

Medicare’s Payment Plan Can Ease Seniors’ Crushing Drug Costs but Medicare Buries it in the Fine Print

By:
  • Jalpa A. Doshi, PhD
  • and John Lin, MD, MSHP
February 3, 2026
A GLP-1 injection laying atop of a scale and a green measuring tape.

Blog Post

Health Care Access & Coverage

Patients Face New Barriers for GLP-1 Drugs Like Wegovy and Ozempic

Even With Lower Prices, Medicare, Medicaid, and Other Insurers Tighten Coverage for Drugs Like Mounjaro and Zepbound Using Prior Authorization and Other Tools

By:
  • Chris Tachibana, PhD, MS
January 21, 2026

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