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Tag: Insurance: Misc.

Insurers are increasingly denying prescriptions of direct-acting antiviral drugs for hepatitis C virus treatment

One-Third of Hep C Rx Receive Absolute Denial From Insurers

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Both private and public insurers continue to deny coverage for drugs at high rates
Reducing public insurance (Medicaid and the Children's Health Insurance Program) income eligibility limits would result in large numbers of newly ineligible pediatric hospitalizations

Cutting Insurance Eligibility Ups Peds Hospitalization Cost Burden

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Reducing public insurance eligibility limits would raise numbers of ineligible pediatric hospitalizations
There are opportunities for recalibrating the role of opioids in pain care

Coverage Policies Compared for Back Pain Medications

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Utilization management common for opioids; often relies on 30-day limits rather than prior authorization
The prevalence of being uninsured varies by occupational groups

CDC: Prevalence of No Insurance Varies by Occupational Groups

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Significant drop in prevalence of uninsured from 2013 to 2014; variation by occupation in both years
Overall

CDC: No Change in Level of Uninsured in U.S. in 2017

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Five percent of children uninsured in 2017, 41.3 and 55.0 percent had public and private coverage
Compared to patients with private insurance

Colon Cancer Survival Varies by Insurance Type

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Patients with Medicaid or no insurance have lower survival versus those with private coverage
The burden of prior authorization has increased over the past five years

Recent Years Saw Increase in Burden of Prior Authorization

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Ninety-two percent of physicians report PA-associated delays in patient access to care
Nearly half of small employers using tobacco surcharges do not provide tobacco cessation wellness programs

Small Employers Often Don’t Provide Tobacco Cessation Help

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Yet, many of these small employers charge tobacco users up to 50% more for health insurance premiums
Drug copayments frequently exceed prescription drug costs

Drug Copayments Often Exceed Prescription Drug Costs

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Overpayments affect 23 percent of all prescriptions; more common with generic drugs
The percentage of uninsured U.S. persons of all ages did not change significantly from 2016 to the first nine months of 2017

CDC: No Change in Percentage of Uninsured in U.S. From ’16 to ’17

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Increase in percentage of those aged younger than 65 years enrolled in high-deductible health plan