Hemophilia of North Carolina

Since 1977, serving the people of North Carolina
affected by bleeding disorders.

260 Town Hall Dr., Suite A, Morrisville, NC 27560
Understanding Accumulator Adjusters

Program made possible
by a grant from

National Hemophilia Foundation

Understanding Accumulator Adjusters

Virtual Advocacy

Thursday, February 25, 2021 – 7:00pm-8:00pm


This event is over.

La sesión estará disponible en español.

En español

We invite community members to join us to learn about Accumulator Adjuster Programs (AAP). Under an AAP, a pharmacy benefit manager can accept third-party co-pay assistance for out-of-pocket costs associated with a prescribed drug but then doesn’t credit that amount toward the patient’s overall deductible. This is an emerging insurance trend that has been negatively impacting patients.

NHF Senior Director of Payer Relations, Kollet Koulianos, will break down exactly how AAPs work, why they are so harmful to patients with bleeding disorders, and how NHF has been advocating on your behalf.

At NHF, Kollet is responsible for project leadership, analysis and development of healthcare payer education strategies, policies and programs, including the Comprehensive Care Sustainability Collaborative (CCSC). Prior to her tenure at NHF, Kollet was the Executive Director of the Bleeding & Clotting Disorders Institute in Peoria IL; served on the executive board of directors for the Hemophilia Alliance, and chaired their national payer subcommittee.

After everyone better understands the issue, we’ll hear from Randolph Cloud, President of Randolph Cloud and Associates, a lobbyist who works on behalf of nonprofits. Randolph will talk about what is happening in North Carolina to resolve the issue of AAPs. Unfortunately, this has been an increasing issue so it’s important we learn how we can help address it at the state level.

Randolph is a native of Fayetteville, North Carolina. He has a bachelor's degree from the University of North Carolina at Chapel Hill and a master's degree in rehabilitation counseling from East Carolina University. He was appointed by the Governor to the Commission on Mental Health, Mental Retardation and Substance Abuse and by the Speaker of the North Carolina House of Representatives to the Mental Health Study Commission. He has served on the board of directors for The Tammy Lynn Center, The Triangle Educational Advancement Foundation, The Common Sense Foundation, SouthLight, Incorporated and the National Students of AMF. Randolph began his professional career with the NC Division of Vocational Rehabilitation and worked for 13 years in state government before starting his government affairs firm.

HNC consumer members who attend this event will receive a gift card for DoorDash, GrubHub, or Uber Eats ($15 per person, $40 max per family). Gift cards will be distributed by email at the conclusion of the event. Note: Gift cards are available only to HNC members who live in North Carolina or receive care at a North Carolina treatment center. Persons employed by a pharmaceutical company, specialty pharmacy or home care company, or who work for a bleeding disorders treatment center are not eligible.

Please register by Wednesday, February 24, 2021. If you have any questions, contact the HNC Office at events@hemophilia-nc.org, or by phone at 919-319-0014.


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HNC Hemophilia of North Carolina 260 Town Hall Dr., Suite A, Morrisville, NC 27560 — 919-319-0014 Hemophilia of North Carolina is a 501(c)(3) non-profit organization.
All donations are tax-deductible.
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 This page was last modified on Sunday, February 7th, 2021.