Payton Herres got a heart transplant when she was 11 years old. After 14 years on the same anti-rejection drug, she can no longer afford the medication under her health insurance’s current plan, so th...

Pushed to their limits, patients are turning to social media to plead for help getting their medical care covered.

YouTube video by Patient Voices In Pharmacy

At 11 years old, Payton Herres received a heart transplant that saved her life. Now 26, she relies on a daily immunosuppressant, Everolimus…

Insurance denial nearly cut off my anti-rejection medication after a heart transplant. See why approval is not access, and what ghost approval really hides.

For this survey, a “ghost approval” means a medication was approved by insurance but remained difficult or impossible to obtain due to cost, specialty pharmacy requirements, network restrictions, admi...

For this survey, a “ghost approval” means a medication was approved by insurance but remained difficult or impossible to obtain due to cost, specialty pharmacy requirements, network restrictions, admi...

A heart transplant recipient shares the mental toll and life-threatening delays caused by prior authorization barriers when accessing vital transplant medication.

“On paper, I have insurance coverage. In real life, I don’t have access. That’s what I call ‘ghost approval,’” writes patient advocate Payton Herres.

After a difficult birth in March of 2000, and overcoming multiple complications due to her congenital heart defect, Payton Herres of Washington Twp. is now an adult fighting a system