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Tag: Insurance: Private

Not Even Private Health Insurance Overcomes Racial Disparities in Glycemic Control

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Worse glycemic control seen for Hispanic and Black adults

During 2018

Private Health Plans Pay Hospitals 247 Percent of Medicare

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Relative prices average 231, 267 percent of what Medicare would pay for inpatient, outpatient services
The out-of-pocket costs for out-of-network care grew rapidly for privately insured Americans from 2012 to 2017

Patient Share of Out-of-Network Costs Rising

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From 2012 to 2017, out-of-pocket costs nearly doubled for out-of-network hospital care
Coverage for adult obesity care improved substantially in Medicaid and state employee insurance programs between 2009 and 2017

Insurance Coverage for Adult Obesity Care Increasing

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Findings among Medicaid, state employee health insurance programs in 2009 to 2017
A policy retrospectively denying insurance coverage if an emergency department discharge diagnosis is determined to be nonemergent is not associated with accurate identification of unnecessary emergency department visits

Policy Denying Coverage for Nonemergent ED Visits Imprecise

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Of the visits meeting criteria for denial of coverage, 39.7 percent received ED-level care
Despite large health policy changes

For Employer-Based Plans, Spending Across Services Steady

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Spending increased, but not uniformly, across all categories of health services from 2007 to 2016
Enrollment in high-deductible health plans has increased among adults with employment-based insurance coverage

Enrollment in High-Deductible Health Plans Up From ’07 to ’17

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Almost one-quarter of adults aged 18 to 64 with employment-based coverage had HDHP without HSA