In 2020, Medicare Advantage plans attracted members with chronic diseases but still maintained lower out-of-pocket healthcare spending for members than fee-for-service Medicare coverage did, a Better...
HHS announced that the federal health insurance market, HealthCare.gov, has gained nearly 940,000 new enrollees as a result of the Affordable Care Act premium tax credits and the special enrollment...
Email and postal mail communications can help guide low-income Affordable Care Act enrollees to less expensive, enhanced silver plans, a recent study published in Health Affairs discovered.
Sometimes...
Texan adults are more likely to be uninsured and forgo care due to cost barriers than the average American, according to a new survey from HealthCareInsider that raises concern for healthcare...
CVS Health and Aetna announced a health plan set to increase care coordination and healthcare access while lowering patient out-of-pocket costs for Southern Californians.
The Aetna Connected Plan with...
In 2019, Medicare beneficiaries who were living in the community were in good health and reported satisfaction with their Medicare coverage, including Medicare costs, quality of care, and access to...
Those enrolled in Medicare who are ineligible for Medicaid are less likely to have supplemental coverage, leading to high cost-sharing limiting patient access to care, according to a new study...
The Medicare Advantage cost burden—or the number of individuals for whom healthcare costs absorb 20 percent or more of their income—is lower than the fee-for-service Medicare cost burden...
The Affordable Care Act subsidies for low-income and middle-income individuals reduced out-of-pocket healthcare spending and catastrophic spending for lower-income individuals, but healthcare costs...
Seniors who choose Medigap policies have high rates of satisfaction with their choice, particularly due to reduced out-of-pocket healthcare spending, according to a survey that America’s Health...
High out-of-pocket costs may dissuade some Medicare Advantage beneficiaries from seeking COVID-19 care as payers eliminate cost-sharing waivers, according to a new American Journal of Preventive...
Whether care is affordable for members depends on more than just pricing; affordability is also tied to how clustered healthcare events—and, by extension, healthcare spending—are in a...
In the year before the pandemic, the US spent a whopping $3.6 trillion on healthcare, with payer spending comprising a third, or $1,195 billion, of that, according to a report from the Congressional...
The impacts related to the No Surprises Act—which Congress included in the Consolidated Appropriations Act in order to address surprise billing—remain unclear, a Kaiser Family Foundation...
Four trends have continued to define the Medicare Advantage space in recent years, fact sheets from the Alliance of Community Health Plans (ACHP) revealed.
“Congress created Medicare Advantage...
Increases in drug wholesale list prices have a trickle-down effect that negatively impacts patient financial responsibility, such as out-of-pocket costs, and payer spending, according to a study...
CMS does not anticipate coronavirus-related expenditures including deferred care to impact 2022 healthcare spending, but the pandemic might impact Medicare Advantage risk scores in contract year 2023,...
Ambetter, a health insurance product from Centene Corporation, has reduced out-of-pocket healthcare spending by collectively giving members millions of dollars in rewards through their My Health...
Copayments and coinsurance can impact care utilization in employer-sponsored health plans depending on the service, a recent study published by Employee Benefit Research Institute (EBRI)...
CMS has released the final rule for price transparency in healthcare coverage, which aims to allow the public to have greater insight into healthcare costs in order to increase value.
“This...
