Cost-sharing

Certain providers recently received a solicitation from Cigna, informing them that their patients on secukinumab (Cosentyx) – a biologic commonly prescribed for psoriasis, psoriatic arthritis, and other autoimmune illnesses – may soon receive a $500 debit card for accepting an alternative treatment. Uniformly, any patient on this medication is enticed to switch even if they’re stable on their current treatment. Disturbingly, this attempt to lure patients by providing them with a one-time payment blurs the line between insurance coverage and medical practice.