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Accumulator Adjustment Programs

AWIR is opposed to “accumulator adjustment programs” which is a new utilization management tool that excludes co-pay assistance from counting towards a patient’s deductible or other out-of-pocket maximum. Under accumulator adjustment programs, patients have to pay off the full value of their deductible after the value of their co-pay assistance runs out for the year. These costs may prove unmanageable for patients on expensive specialty medications, threatening adherence to their treatment plan.