Radar on Drug Benefits

With Copay Accumulators in Legal Spotlight, Fewer People Are in Plans That Feature Them

  • Dec 14
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    Dec 14, 2023

    Payers covering 81% of commercial lives have implemented copay accumulator programs as of September 2023, compared with 89% in 2022, according to data collected by MMIT (AIS Health’s parent company) on 35 insurers and PBMs representing 117.8 million lives. Payers covering 71% of people were enrolled in plans with copay maximizers, down from 76% in 2022. However, on average, payers anticipated a 30% increase in the number of plan sponsors opting into such programs next year and a 14% increase in member enrollment in plans with copay accumulators and maximizers.

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    • Jinghong Chen

    Jinghong has been producing infographics and data stories on employer-sponsored insurance, public health insurance programs and prescription drug coverage for AIS Health’s Health Plan Weekly and Radar on Drug Benefits since 2018. She also manages AIS Health’s annual executive compensation database for top insurers and Blue Cross and Blue Shield affiliates. Before joining AIS Health, she interned at WBEZ, Al Jazeera English and The New York Times Chinese. She graduated from Missouri School of Journalism with a focus on data journalism and international reporting.

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