Editorial analysis on why patients don't get the care they need.
Taylor McKinneyDual eligible beneficiaries have two programs covering their care and face some of the most complex access failures in the system. Here is why the coordination breaks down and what it takes to serve this population well.
Taylor McKinneyHow the consolidation of payers, PBMs, and specialty pharmacies creates conflicts of interest that narrow networks, distort formularies, and reshape what specialty patients can actually access.
Taylor McKinneyPAP programs exist to close the cost gap on specialty medications. The application process, the documentation burden, and the renewal cycle create a barrier that most practices have no system to manage.
Taylor McKinneyWhy Medicare Part D's phase structure catches specialty patients off guard, what the Inflation Reduction Act does and does not fix, and where the access failure actually lives.
Systems-level analysis of the healthcare access problem — written by someone who works inside it. No talking points. No filler. Just honest, specific thinking about why the gap exists and what it takes to close it.
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