Out-of-Pocket Healthcare Spending

Cancer Patients Paid $5.6B Out-of-Pocket Cancer Costs in 2018

by Kelsey Waddill

Cancer patients are paying higher and higher out-of-pocket costs for treatment and, according to the American Cancer Society’s recent report, payer-related costs are the most common contributor...

Employer Sponsored 2020 Out-of-Pocket Costs Were Stable Pre-COVID

by Kelsey Waddill

Employer-sponsored health plans grew more expensive for individuals and families in 2020, the Employer Health Benefits annual Kaiser Family Foundation (KFF) survey found. “Conducted partly...

Payer Premiums, Out-of-Pocket Costs Burden Medicare Beneficiaries

by Kelsey Waddill

Medicare beneficiaries are concerned about their future healthcare costs, particularly related to their health insurance, a MedicareGuide.com survey revealed. The results represent the online...

MA Payers Focus on Cutting Out-of-Pocket Costs, Home Health in 2021

by Kelsey Waddill

As Medicare open enrollment approaches,  benefits from major payers emphasize lowering out-of-pocket costs and home healthcare benefits. UnitedHealthcare, Humana, and Cigna are significant...

Medicare Beneficiaries Require More Financial, Coverage Support

by Kelsey Waddill

Low income and minority seniors as well as those who are almost of age to become Medicare beneficiaries require greater financial and coverage support from the Medicare program, researchers from...

Appeals Court OKs 3-Year Short-Term Limited Duration Health Plans

by Kelsey Waddill

The US District Court of Appeals for the District of Columbia Circuit upheld the Trump Administration’s decision to extend the potential duration of short-term limited duration health plans. The...

How Payers, Policymakers Can Help Small Business Health Coverage

by Kelsey Waddill

With New Jersey’s small group health insurance market in decline, the New Jersey Health Care Quality Institute (Quality Institute), a nonpartisan group that advocates for collaboration among...

Vision Care Plans Generate High Member Satisfaction, Low Costs

by Kelsey Waddill

Vision care plans are generating savings on healthcare spending and increasing access for members, fueling member satisfaction, a survey conducted on behalf of America’s Health Insurance Plans...

Medicaid Expansion Impacts Contraception Access, Women’s Health

by Kelsey Waddill

Medicaid expansion has an impact on women’s health by opening up access to longer-acting, effective contraceptives that can prevent unwanted pregnancies in adults and adolescents, a study...

Out-of-Pocket Insulin Costs Stagnant for Commercial Members

by Kelsey Waddill

Although insulin prices more than doubled between 2006 and 2017, out-of-pocket insulin costs for commercial plan members remained fairly steady over the course of that period, even declining slightly...

COVID-19 Healthcare Spending Hinges On Hospitalization Rates

by Kelsey Waddill

As payers setting rates for 2021 seek greater clarity on coronavirus costs, experts warned in a recent Health Affairs article that the direct medical COVID-19 healthcare spending could range from...

Unemployment Impacts Eligibility in Medicaid Expansion States

by Kelsey Waddill

Workers in states that embraced Medicaid expansion would have a better chance of accessing healthcare coverage assistance if unemployment compensation were not included in the eligibility...

Claims May Rise in 2 to 3 Months As Patients Seek Deferred Care

by Kelsey Waddill

Almost 50 percent of American adults deferred care themselves or have a household member who deferred care due to the coronavirus, but more than two-thirds of those who deferred (32 percent of the...

Medicare Advantage, Part D Plans Join CMS to Cut Insulin Costs

by Kelsey Waddill

More than 1,750 Medicare Advantage and Medicare Part D plans will participate in the Part D Senior Savings Model in order to offer lower insulin costs in 2021, CMS announced. “President Trump...

Most Payers Cover Member Costs for COVID-19 Testing, Treatment

by Emily Sokol, MPH

Health payers recognize the importance of COVID-19 testing and treatment to keep their members healthy and fight the pandemic. That is why a majority are covering the costs of testing and treatment...

Over 6M Seniors May Face COVID-19 Treatment Out-Of-Pocket Costs

by Kelsey Waddill

More than six million seniors would face COVID-19 treatment out-of-pocket healthcare spending if diagnosed with the coronavirus, a Patient Assistance Network (PAN) Foundation issue brief recently...

Medicare Advantage Enrollment, Quality Continue Upward Trend

by Kelsey Waddill

Medicare Advantage plans are continuing along a trend of burgeoning enrollment and rising quality, although costs for certain services may be more expensive than traditional Medicare, according to...

Payers Expect Claims Spike After COVID-19, No 2021 Premium Hike

by Kelsey Waddill

As payers cut back on members’ coronavirus testing and treatment costs and employ telehealth services to meet non-emergency needs, they still expect to keep 2021 premium rates level or lower than...

CA Boosts Worker’s Comp, Insurance Benefits for COVID-19 Diagnosis

by Sara Heath

A notice out of California Insurance Commissioner Ricardo Lara’s office seeks to remind insurance companies that all workers exposed to COVID-19 while working on the frontline are eligible for...

Payers, Providers Under Fiscal Strain Rally To Combat COVID-19

by Kelsey Waddill

Despite past conflicts, now more than ever payers and providers are showing support for each other in the face of the growing pandemic. For more coronavirus updates, visit our resource page,...