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Tag: Insurance: Misc.

Overall

Health Care Use Down in Diabetes Patients With High Deductibles

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But those from low-income areas have increase in high-severity hospitalization days after HDHP switch
Provider collaboration with local specialty pharmacies is associated with reduced delays in therapy and lower rates of direct-acting antiviral denial for patients with hepatitis C

Pharmacies Can Up Access to Direct-Acting Antivirals for Hep C

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Collaboration with local specialty pharmacy linked to reduced delays in therapy, lower rates of denial
CVS Health's planned purchase of insurance giant Aetna

CVS-Aetna Merger Has Implications for Doctors’ Offices

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More health services will likely move out of doctors' offices to store-based providers
From 1997 to 2014

Differences in Cancer Survival by Type of Insurance

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Survival up in patients with private insurance, Medicare; no change or drop with other, no insurance
Insurance coverage differences account for about half of the disparity in survival rates between black and white patients aged 18 to 64 years with colorectal cancer

Insurance Underlies Black-White Survival Disparity in CRC

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54 percent of excess risk of death in black colorectal cancer patients accounted for by insurance matching
A combination of clinical factors and payer type increase the likelihood of approval for proprotein convertase subtilisin/kexin type 9 inhibitor treatment

Rate of Approval for PCSK9i Therapy 47 Percent

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Clinical factors and payer type linked to likelihood of approval, with highest approval for Medicare
A communication-and-resolution program

Communication Program Doesn’t Raise Hospital Liability Costs

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The few program events that met eligibility criteria for compensation were not costly to resolve
In 2017

Worker Contribution to Health Benefits Up in 2017

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Share of firms offering coverage, workers receiving coverage remained stable
Insurers have the bargaining power to reduce provider prices in highly concentrated provider markets

Insurer Market Power Lowers Providers’ Prices

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Evidence seen for specialists in markets with high provider, insurer concentration
Narrow network health plans are less likely to cover treatment by doctors at centers affiliated with the U.S. National Cancer Institute

NCI-Designated Care Often Excluded in Narrow Health Plans

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Oncologists affiliated with NCI-Designated or NCCN Cancer Centers more likely excluded in narrow plans