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Tag: Insurance: Misc.

For patients with metastatic breast cancer

Patient Cost Responsibility Up for Guideline-Discordant Care

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Guideline-discordant tx linked to $1,841 higher patient costs in first year in metastatic breast cancer
There is great variability in coverage and medical necessity criteria for gender-affirming top surgery across insurance companies

Insurance Plans Vary in Policies for Gender-Affirming Surgeries

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Plans often deviate from recommended criteria for coverage; some insurers categorically deny access
More than half of older nonretired adults need help understanding their health insurance benefits

Older Adults Need More Help Navigating Health Care System

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Better understanding of health insurance benefits may help with navigating health care system, survey finds
In 2019

Average Annual Premium for Workers Increased in 2019

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Average annual premium increased to $7,188 for single coverage, $20,576 for family coverage
The percentage of Americans living in poverty declined in 2018

Poverty Rate Drops, but Fewer Americans Have Health Insurance

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8.5 percent of population lacked health insurance for all of 2018, up from 7.9 percent in 2017
Cancer survivors with high-deductible health plans are more likely to experience delayed or foregone care

Delayed/Foregone Care More Likely for Cancer Survivors With HDHPs

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Having a health savings account can mitigate the impact of the high-deductible health plan
Tighter rules on opioid painkiller prescriptions for U.S. government employees will be implemented in the fall

New Opioid Rx Rules Coming for U.S. Employees’ Health Plans

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New Federal Employee Health Benefits Program rules are meant to prevent overprescribing
Eighteen percent of all emergency department visits and 16 percent of in-network hospital stays have at least one out-of-network charge

Considerable Number of Patients Receive Surprise Hospital Charges

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18 percent of all ED visits, 16 percent of in-network hospital stays have at least one out-of-network charge
For patients with chronic obstructive pulmonary disease

High-Deductible Health Plans May Be Harmful for Patients With COPD

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Individuals with HDHP more likely to report forgoing care due to costs, cost-related nonadherence
Prices paid to hospitals for privately insured patients in 2017 averaged 241 percent of what Medicare would have paid

Private Insurers Pay 241 Percent of What Medicare Would Pay

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RAND researchers recommend private insurers move toward fixed-price arrangements