Patients in Colorado soon will have better access to hepatitis C treatment.
Colorado soon will begin treating needy hepatitis C patients with the latest antiviral drugs instead of waiting until they are sick enough to qualify.
Friday’s decision by the state Medicaid department comes in the midst of a class-action lawsuit filed by the American Civil Liberties Union of Colorado and after top health officials asked the department to lift restrictions that determined which patients could receive life-altering treatment.
It also comes as the price of the antiviral drugs — which cure up to 90 percent of patients — has dropped from $84,000 per treatment to about $14,000.
Colorado’s previous policy, which required Medicaid recipients with the virus to have advanced liver damage in order to receive treatment, was “unconscionable,” said Kevin Costello with Harvard Law School’s Center for Health Law and Policy Innovation, a partner in ACLU’s suit.
“Were a cure for cancer to be discovered, no one would tolerate insurance providers telling patients: ‘We need to wait until you get really sick before we treat you,’” he said in a statement after Colorado’s announcement.
Until about two years ago, the best treatment for hepatitis C included year-long, toxic injections with often-miserable side-effects and an estimated cure rate of only 50 percent. The latest antivirals, pills taken for as few as eight weeks, come with few side-effects and a 90 percent cure rate.
Because of the price drop, the state Medicaid department expects to spend the same yearly amount on treatment but treat about 20 percent more patients. Other states that lifted restrictions treated 5 to 50 percent more people, said Dr. Judy Zerzan, chief medical director for the Colorado Department of Health Care Policy and Financing.
Department officials said budget figures showing how much the Medicaid department spent last year treating patients with hepatitis C were unavailable Friday. Zerzan said in 2016 that the department spent $26.6 million treating 326 hepatitis C patients — an average cost of $82,000 per person.
Friday’s policy change, she said, was “part of our usual process (in) keeping up with the pace of change and the evidence” and not related to the lawsuit. The new rules take effect Jan. 1.
Read full article: Colorado will treat needy patients with hep C, no matter how sick
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