123s: By the Numbers

Comprehensive reports on coverage and access

Learn more about how access to different health care treatments and services may vary. Check out the latest research on plans in health insurance exchanges. Get the facts on coverage and access hurdles in your state, and visit PhRMA.org for more information.
  • Access to Diabetes Medicines in Exchange Plans

    August 26, 2015

    The number of patients who are newly diagnosed with diabetes each year has tripled in the past twenty years, and type 2 diabetes accounts for 95% of diagnosed diabetes in adults.

  • Access to Asthma Medicines in Exchange Plans

    August 13, 2015

    Prescription medicines are a crucial component of treatment for asthma. In the United States, more than 25 million people are known to have asthma, including about 7 million children.

  • Access to Oncology Medicines in Exchange Plans

    July 14, 2015

    Medicines are central to the treatment of most forms of cancer. Cancer treatment has evolved tremendously over the past decade. New targeted therapies attack cancer cells based on their molecular or genetic characteristics.

  • Access to HIV/AIDS Medicines in Exchange Plans

    Prescription medicines are a crucial component of treatment for HIV/AIDS. Multidrug regimens have substantially reduced HIV progression to AIDS and AIDS-related opportunistic infections, hospitalizations, and deaths.

  • Access to Mental Health Medicines in Exchange Plans

    Affordable coverage and access to a range of mental health medicines are critical to meeting the needs of patients with mental health needs.

  • Out-of-Pocket Costs on Health Insurance Exchanges

    PhRMA.org // September 1, 2014

    Health Insurance Exchanges, also known as marketplaces, were established as part of the Affordable Care Act (ACA) to expand access to quality health care and help control the nation’s health care spending.

  • An Analysis of Exchange Plan Benefits for Certain Medicines

    Monthly Mailer // September 9, 2014

    A central goal of The Patient Protection and Affordable Care Act (ACA) was to expand access to insurance so patients, particularly those with chronic disease, could access the treatments and medicines they need.

  • Access to Medicines for Chronic Conditions

    According to an analysis by Avalere Health, patients in the exchanges that suffer from chronic conditions may face hurdles in accessing needed treatments.

  • Access to Multiple Sclerosis Medicines in Exchange Plans

    December 3, 2015

    Medicines are a critical component of long-term management of multiple sclerosis (MS) and prevention of the disease’s progression.

  • Cost-Sharing Reductions Unevenly Applied Across Services in Exchange Plans

    July 1, 2014

    Consumers in exchanges receiving federal assistance to reduce their out-of-pocket costs may experience inconsistent reductions in spending depending on the plan.

  • Even After a Deductible is Met, Patients Often Have High Cost-Sharing for Prescription Medicines

    Under bronze and silver exchange plans, patients are often subject to high deductibles when it comes to paying for prescription medicines.

  • Access to Combination Therapies in Exchanges

    Combination therapies are medications that contain two or more pharmaceutical ingredients in a single dosage form (e.g., tablet, capsule) for the treatment of a condition.

  • Access to Hyperlipidemia Medicines in Exchange Plans

    July 1, 2016

    According to an analysis by Avalere Health, patients in the exchanges that suffer from chronic conditions may face hurdles in accessing needed treatments.

  • Access to Hepatitis Medicines in Exchange Plans

    July 1, 2016

    According to an analysis by Avalere Health, patients in the exchanges that suffer from chronic conditions may face hurdles in accessing needed treatments.

  • Access to Cystic Fibrosis Medicines in Exchange Plans

    July 1, 2016

    According to an analysis by Avalere Health, patients in the exchanges that suffer from chronic conditions may face hurdles in accessing needed treatments.

  • New Study: Patient cost sharing rising as plans push more costs to patients through deductibles, coinsurance

    April 15, 2016

    A Kaiser Family Foundation analysis finds patients are paying more out-of-pocket through deductibles and coinsurance, while copayments are going down.

  • New Avalere Study: Health plan formularies continue to suggest bias against individuals with certain health conditions

    April 25, 2016

    Despite warnings that requiring high cost sharing for all or most medications to treat a condition may be discriminatory, new data shows some health plans are continuing to engage in this practice.