Out-of-Pocket Healthcare Spending

How Coverage Mandates May Impact DBT Breast Cancer Screenings

by Kelsey Waddill

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...

National Healthcare Spending May Grow 5% in the 2020s

by Kelsey Waddill

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...

Privately Insured Catheter Users Incurred High Out-of-Pocket Costs

by Victoria Bailey

Catheter users who received health insurance coverage from private health plans incurred higher annual out-of-pocket costs compared to catheter users on a government or public health plan, according to...

Out-of-Pocket Healthcare Spending Higher for Pregnant People

by Victoria Bailey

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...

Consumers Emphasize Insurer Role in High Healthcare Spending

by Kelsey Waddill

Most Americans reported that health insurers are not successfully deflecting high healthcare spending and many survey respondents sought more transparency and out-of-pocket healthcare spending support...

How 2020 Healthcare Spending Trend Fits Within Decades of Growth

by Kelsey Waddill

While the nation’s overall healthcare spending trend has been gradually increasing starting in 1970, the US experienced a particularly steep healthcare spending incline in 2020 of nearly 10...

Payers Lag On Acupuncture Coverage Despite Rising Utilization

by Kelsey Waddill

Although acupuncture utilization has grown in recent years, only half of acupuncture visits had any form of coverage in 2019, according to a research letter published in JAMA Network Open. The...

HRSA Expands Preventive Care Coverage Under ACA for Women, Children

by Victoria Bailey

The Health Resources and Services Administration (HRSA) has updated the preventive healthcare guidelines under the Affordable Care Act (ACA) to expand low-cost coverage of preventive care services for...

Cancer Patients in High Deductible Health Plans Face Steep Costs

by Victoria Bailey

Patients with new cancer diagnoses who were enrolled in a high deductible health plan experienced significantly higher out-of-pocket healthcare costs compared to patients with traditional insurance, a...

Children, COVID-19 Are Drivers of Household Healthcare Spending

by Victoria Bailey

Households that had a COVID-19 diagnosis and those with children had higher rates of household healthcare spending and medical bill concerns, according to the...

2021 Employer-Sponsored Health Plan Spending Growth Hit 6.3%

by Kelsey Waddill

Costs for employer-sponsored health plans increased 6.3 percent in 2021, surpassing every annual increase since 2010, a Mercer survey discovered. “Employers seem optimistic that this...

Few Seniors Have Changed Plans During 2022 Open Enrollment

by Kelsey Waddill

Nearly nine out of every ten American seniors had not changed Medicare plans with less than a month left in the 2022 open enrollment season, according to a MedicareGuide.com survey. MedicareGuide.com...

2022 ACA Marketplace Premiums Depend on Enrollee Income, Location

by Victoria Bailey

Affordable Care Act (ACA) marketplace premiums for 2022 depend largely on where individuals live, what their income is, and which plan they select, according to a Kaiser Family Foundation (KFF) issue...

CMS Rule Would Require Payers to Share Data on Drug Spending

by Kelsey Waddill

The Biden administration has issued an interim final rule that requires group and individual health insurance market plans to send data related to prescription drug spending of both patients and their...

Teladoc, Trustmark Announce Virtual-First Health Plan

by Kelsey Waddill

Trustmark Health Benefits (Trustmark), the employer-sponsored health benefits arm of Trustmark Mutual Holding Company, has announced that it will partner with Teladoc to form a virtual-first health...

COVID-19 May Push Americans To Change Plans For Open Enrollment

by Kelsey Waddill

Many consumers are considering changing their healthcare plan during open enrollment 2022, a movement largely motivated by the coronavirus pandemic, according to a ValuePenguin study.  The...

Affordable Care Act Marketplace Premium Growth Outpaced Income

by Kelsey Waddill

An increasing share of middle class families faced barriers related to care costs on the Affordable Care Act marketplace from 2015 to 2019, a Health Affairs study found. The researchers used American...

CMS Shares Affordable Care Act Marketplace Open Enrollment Details

by Kelsey Waddill

With the Affordable Care Act marketplace open enrollment season around the corner, CMS has announced changes to its outreach and enrollment processes in a marketplace 2022 open enrollment fact...

CMMI Aims to Lower Out-of-Pocket Healthcare Spending by 2030

by Kelsey Waddill

Updated 11/1/2021: This article has been updated to refer to the Centers for Medicare & Medicaid Services Innovation Center (CMMI) as a singular center. A previous version referred to...

BMA: Medicare Advantage Offers Lower Costs, Better Benefits Than FFS

by Victoria Bailey

Medicare Advantage plans offer members additional benefits and require less spending from the federal government compared to fee-for-service (FFS) Medicare, according to a report commissioned by Better...