Trends in Medicare Savings Programs, Part D Subsidy Enrollment
The number of Medicare beneficiaries enrolled in the Medicare Savings Programs and receiving Part D low-income subsidies varied by state, as states have the individual power to expand eligibility and...Employer Sponsored Health Plan Trends in High Enrollment States
AHIP has released an overview of employer-sponsored health plan coverage across all 50 states and the District of Columbia, with California, Texas, and New York seeing the highest populations of...Key Advantages of Medicare Advantage Plans Versus FFS Medicare
Medicare Advantage plans may provide better access to care and lower healthcare spending for enrollees, compared to fee-for-service Medicare, according to a study from ATI Advisory conducted on...ARPA Tax Credit Expiration Will Increase Uninsured Population by 3M
The uninsured population may increase by more than 3 million if policymakers do not extend the premium tax credits under the American Rescue Plan Act (ARPA), according to an Urban Institute issue...7 Challenges, Costs of Utilization Management for Employers
Certain utilization management techniques—such as step therapy and prior authorization—may increase employees’ costs and restrict access to care, especially for employees with chronic...How Coverage Mandates May Impact DBT Breast Cancer Screenings
Insurance coverage mandates for a certain type of breast cancer screening may drive up utilization and lower costs, according to a study published in JAMA Network Open. Digital breast tomosynthesis...Uninsured May Lose Access to COVID-19 Services Without Federal Funds
Uninsured individuals may lose access to free COVID-19 testing, treatment, and vaccines when federal funds and supplies are exhausted, according to an issue brief from the Kaiser Family Foundation...National Healthcare Spending May Grow 5% in the 2020s
CMS has released its projections for national healthcare spending from 2021 to 2030, noting that healthcare as a share of the gross domestic product (GDP) will remain comparable to the share in...State-Based Marketplace Premiums to Increase Without ARPA Expansion
If federal officials do not extend the enhanced premium subsidies under the American Rescue Plan Act (ARPA), state-based marketplace enrollees will face higher premiums and may lose coverage in 2023,...Sponsored Article
The Unintended Consequences of Complex Healthcare Payment Systems
Fragmentation, inefficiency, and complexity are the byproducts of how health payers have arrived at the present moment. Decades of regulation and market forces have created a rather unwieldy collection...Sponsored Article
How Patient Management Promotes Medication Adherence, Lowers Costs
Every year in the US, payers spend $100 billion on medication-related hospitalizations. These incidents come with a time cost, too. Reduced productivity is responsible for a $16,000 loss per...Out-of-Pocket Healthcare Spending Higher for Pregnant People
Pregnant people were more likely to experience high out-of-pocket healthcare spending, but Medicaid and public health insurance coverage helped minimize costs compared to private insurance, a study...Sponsored Article
