Commercially Insured
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New England Journal of Medicine: Consistently High Turnover in the Group of Top Health Care Spenders
Read more: New England Journal of Medicine: Consistently High Turnover in the Group of Top Health Care SpendersNEJM CATALYST: “The concentration of most U.S. health care spending in a small proportion of individuals is well documented. The notion that high health care spending only affects a small portion of people in a given year is particularly relevant to the ongoing policy debate about how to make health insurance affordable for all, while…
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Top Spenders Among the Commercially Insured Increased Spending Concentration and Consistent Turnover from 2013 to 2015
Tags: Commercially Insured, Drug Spending, Inpatient Spending, Out-of-Pocket, Outpatient Spending, Physician Spending, Top Spenders
Read more: Top Spenders Among the Commercially Insured Increased Spending Concentration and Consistent Turnover from 2013 to 2015This issue brief explores the distribution of health care spending among commercially insured individuals, with a focus on the top 5 percent of spenders and turnover within that group from year to year. It considers the share of spending incurred by this group of top spenders, how those dollars are distributed among the health care…
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CNN Money: Jeff Bezos, Warren Buffett, and Jamie Dimon want to fix health care
Read more: CNN Money: Jeff Bezos, Warren Buffett, and Jamie Dimon want to fix health careBy: Chris Isidore Amazon is partnering with Buffett’s Berkshire Hathaway and JPMorgan Chase, the nation’s largest bank, to try to address one of the nation’s thorniest and priciest problems — soaring health care costs. The three companies unveiled an as yet unnamed company to give their U.S. workers and families a better option on health…
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Wall Street Journal: Health-Care Costs Rose for Americans With Employer-Sponsored Insurance
Read more: Wall Street Journal: Health-Care Costs Rose for Americans With Employer-Sponsored InsuranceBy: Jeanne Whalen Spending on health care accelerated in 2016 for Americans who get insurance through work, even as use of most health-care services declined or remained flat. The reason, according to a new report: price increases. Rising prices for prescription drugs, surgery, emergency-room visits and other services drove a 4.6% increase in total spending…
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ER spending increased 85%, driven by price increases for the most severe cases (2009-2015)
Read more: ER spending increased 85%, driven by price increases for the most severe cases (2009-2015)Medical bills from the Emergency Room (ER) are a mystery to many patients in the US health system. From incredibly high, varying charges to surprise bills resulting from in/out of network confusion, many Americans have no idea what to expect when it comes to the cost of this necessary service. Recently, Vox reporter, Sarah Kliff,…
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Health Affairs: Rising Use Of Observation Care Among The Commercially Insured May Lead to Total And Out-Of-Pocket Cost Savings
Tags: Commercially Insured, Health Affairs, Inpatient Spending, Observation Stays, Out-of-Pocket, Peer Reviewed JournalsRead more: Health Affairs: Rising Use Of Observation Care Among The Commercially Insured May Lead to Total And Out-Of-Pocket Cost SavingsABSTRACT: Proponents of hospital-based observation care argue that it has the potential to reduce health care spending and lengths-of-stay, compared to short-stay inpatient hospitalizations. However, critics have raised concerns about the out-of-pocket spending associated with observation care. Recent reports of high out-of-pocket spending among Medicare beneficiaries have received considerable media attention and have prompted direct policy…
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New England Journal of Medicine: The Value of Health Insurance through Price Discounts
Read more: New England Journal of Medicine: The Value of Health Insurance through Price DiscountsNEJM CATALYST: “As context for the ongoing health care reform debate, we analyzed Health Care Cost Institute (HCCI) data. HCCI is a nonpartisan, nonprofit organization aimed at providing complete and accurate information about health care utilization and costs in the United States. Our goal was to demonstrate the value of insurance through these discounted rates….
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Health Affairs: Effects Of State Insurance Mandates On Health Care Use And Spending For Autism Spectrum Disorder
Read more: Health Affairs: Effects Of State Insurance Mandates On Health Care Use And Spending For Autism Spectrum DisorderABSTRACT: Forty-six states and the District of Columbia have enacted insurance mandates that require commercial insurers to cover treatment for children with autism spectrum disorder (ASD). This study examined whether implementing autism mandates altered service use or spending among commercially insured children with ASD. We compared children age twenty-one or younger who were eligible for mandates…
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JAMA Oncology: Association Between Quality of Care for Breast Cancer and Health Insurance Exchange Coverage An Analysis of Use of Radiation Therapy After Breast-Conserving Surgery
Read more: JAMA Oncology: Association Between Quality of Care for Breast Cancer and Health Insurance Exchange Coverage An Analysis of Use of Radiation Therapy After Breast-Conserving SurgeryABSTRACT Research comparing quality of cancer care by insurance categories concluded that cancer patients without insurance or with Medicaid experienced inferior quality of care compared with those with private insurance. A new insurance category created from the Affordable Care Act (ACA) is insurance purchased from the Health Insurance Marketplace (also known as the exchange). The present…
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Women’s Health Issues: Maternal Medical Complexity Impact on Prenatal Health Care Spending among Women at Low Risk for Cesarean Section
Tags: Commercially Insured, Inpatient Spending, Maternal Health, Outpatient Spending, Peer Reviewed Journals
Read more: Women’s Health Issues: Maternal Medical Complexity Impact on Prenatal Health Care Spending among Women at Low Risk for Cesarean SectionABSTRACT Background: Obstetric procedures are among the most expensive health care services, yet relatively little is known about health care spending among pregnant women, particularly the commercially-insured. Objective: The objective of this study was to examine the association between maternal medical complexity, as a result of having one or more comorbid conditions, and health care…