Reaching for the Cure: Texas Medicaid Doesn't Cover Hepatitis C Drugs Until Patients Are Seriously Ill

Tex Med. 2020 Feb 1;116(2):38-42.

Abstract

Infectious disease specialist Ogechika Alozie, MD, has a ready-made solution for patients diagnosed with hepatitis C now that five medications can rid patients of this deadly disease. But for Texas Medicaid patients, there's a catch. The program does not pay for the cure based just on a diagnosis. Instead, Medicaid pays only after a blood test, biopsy, or sonogram shows the liver is so badly damaged that it's on the verge of cirrhosis. At that point, patients who get the medication will be cured of their hepatitis C but more vulnerable to other deadly illnesses, like liver cancer.

MeSH terms

  • Hepatitis C / drug therapy*
  • Humans
  • Insurance Coverage*
  • Medicaid*
  • Severity of Illness Index
  • Texas
  • United States