Preventive Care

How Affordability Challenges Reveal Care Disparities for ESI Members

January 31, 2024 - Employees in employer-sponsored health plans face significant care disparities based on income, sexual orientation, and race that influence health outcomes for each group, a report from Morgan Health uncovered. Researchers assessed 2021 data from the National Health Interview Survey (NHIS), National Study on Drug Use and Health (NSDUH), and the...

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Preventive Care Visits Among Medicare Beneficiaries Grew, Study Finds

by Victoria Bailey

The share of primary care visits focused on preventive care nearly doubled between 2001 and 2019, with the steepest growth among Medicare beneficiaries, a Health Affairs study found. Periodic...

UHC Commercial Plan Focuses on Price Transparency, Preventive Care

by Kelsey Waddill

UnitedHealthcare’s Affordable Care Act-compliant employer-sponsored health plan, Surest, is the payer’s fastest-growing commercial plan. Data indicates that Surest’s emphasis on price...

Medicare Coverage Associated with Higher Cancer Screening Rates

by Victoria Bailey

Individuals were more likely to receive breast cancer and colorectal cancer screenings after obtaining Medicare coverage, according to a study from Epic Research. The Affordable Care Act requires...

Common Utilization Measures That Impact Value-Based Care Efforts

by Kelsey Waddill

Quality and quantity have a nuanced relationship in the healthcare system: put simply, payers want to reduce members’ quantity of low-value services while increasing the number of services that produce better quality...

Health Plans Must Continue Covering Preventive Care Services

by Victoria Bailey

A federal appeals court approved an agreement between parties in Braidwood Management v Becerra, preserving the mandate requiring health plans to cover preventive care services based on recommendations...

6 Key Payer Benefits that Support Behavioral Health Prevention

by Kelsey Waddill

With behavioral healthcare demands on the rise, payers must not only be aware of the current trends but establish pathways toward behavioral health prevention through their health benefits. Half of employer-sponsored health plan enrollees...

Loss of ACA Preventive Care Mandate Could Impact 10M Enrollees

by Kelsey Waddill

With the Affordable Care Act’s preventive care coverage requirement under scrutiny, Peterson-KFF researchers investigated how many Americans rely on the law’s coverage and determined that...

Aetna Injects $7.3M into Virginia FQHCs for Improved Cancer Outcomes

by Sarai Rodriguez

In partnership with the Virginia Community Healthcare Association (VCHA), Aetna Better Health of Virginia has allocated over $7 million in value-based care incentives to Virginia's federally...

4 Categories of Preventive Care Services Covered Under the ACA

by Kelsey Waddill

There are four types of services that private payers and employers are required to cover under the Affordable Care Act (ACA) preventive care services provision, which include screenings and...

Court Upholds ACA Preventive Care Compliance Amid Legal Proceedings

by Kelsey Waddill

The US Court of Appeals for the Fifth Circuit determined that employers and health insurers must maintain compliance with Affordable Care Act (ACA) preventive care services provision while the law...

22% of Employers Waver on Adhering to ACA Preventive Care Rules

by Kelsey Waddill

The coronavirus pandemic brought underscored the role of preventive care services in employee health, but in light of recent litigation, 28 percent of employers were either unsure of whether they would...

Judge Rules That Employers Do Not Have to Cover Certain Preventive Care Services

by Kelsey Waddill

A US district judge ruled in Braidwood Management vs Becerra that employers do not have to cover preventive care services based on recommendations from US Preventive Services Task Force (USPSTF). Six...

60% of Privately Insured Patients Utilized Some ACA Preventive Care

by Sarai Rodriguez

Researchers from the Peterson-Kaiser Family Foundation (KFF) Health System Tracker discovered that in 2018, nearly 100 million privately insured Americans, or 6 out of 10, utilized some of the...

Health Insurance Impacts Racial Inequities in Cervical Cancer Diagnoses

by Victoria Bailey

Health insurance coverage may help mitigate racial inequities in advanced-stage cervical cancer diagnoses, according to a study published in JAMA Network Open. Undergoing regular cervical cancer...

MT Medicaid Expansion Leads to More Preventive Care Use, Lower Costs

by Kelsey Waddill

Since Montana’s Medicaid expansion policy went into effect in 2016, the program has seen strong results in its preventive care services utilization efforts and Medicaid spending, according to a...

Proposed Rule Adds Contraceptive Coverage Pathway, Cuts Moral Exemption

by Kelsey Waddill

Under a newly proposed rule, the Biden administration would remove the moral exemption for health plan coverage of birth control while keeping the religious exemption intact, a fact sheet from the US...

Most Impactful USPSTF Preventive Care Final Recommendations of 2022

by Kelsey Waddill

The US Preventive Services Task Force (USPSTF) released a list of its top preventive care recommendations that were finalized in 2022. The list is not comprehensive. Rather, USPSTF named the...

Status of Women’s Health Across Insurance Types in 2022

by Kelsey Waddill

Women’s health varied by health insurance coverage, with uninsured women experiencing some disparities in preventive care and insured women reporting unwelcome surprises about the limits of their...

High Deductibles Create Barriers to Screening Mammograms, Follow-Up Tests

by Victoria Bailey

High deductibles may discourage women from receiving follow-up testing after an abnormal mammogram, with one in five saying they would skip additional imaging if they knew they had to pay a deductible,...

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