Cost-sharing waivers for COVID-19 hospitalizations have the potential to significantly reduce out-of-pocket healthcare spending, as long as they are comprehensive and cover all hospital-related...
Healthcare costs continue to be a barrier for seniors, with over one in four older Americans facing high out-of-pocket costs and lacking emergency funds to pay for healthcare services, according to a...
More than half of employees are satisfied with their current employer-sponsored health benefits, though many faced difficulties due to the rise of healthcare costs, according to the Employee Benefit...
As employers seek to lower costs, a few key employer health benefit strategies are showing positive results.
Healthcare costs are on an unsustainable trajectory, according to employer respondents in a...
As employers strive to help members lower costs, they can leverage episode-based benefit plans to guide their employees toward value-based care decision-making, according to a report from Manatt...
Policymakers are looking to include dental, hearing, and vision benefits to Medicare as a part of the budget reconciliation bill, which could benefit many Medicare beneficiaries who go without this...
Updated 9/13/21: This article has been updated to reflect that AHIP has taken a stance regarding the potential outcomes if the proposed policy passes. A previous version of the article incorrectly...
Ambulatory surgery centers can be high value care sites for hospital outpatient services, according to UnitedHealth Group’s recent claims analysis.
Ambulatory surgery centers are care sites that...
Now that vaccines are readily available to all American adults, private payers have stopped waiving cost-sharing for COVID-19 hospitalizations, according to a Peterson-Kaiser Family Foundation (KFF)...
The Alliance of Community Health Plans (ACHP) voiced its support for the Quality Payment Relief Act, which the organization argued would correct the use of Medicare Advantage benchmark caps and enable...
By increasing the coverage rate, Medicaid expansion may protect patients from surgical catastrophic spending, an article published in Health Affairs found.
The researchers used data from the...
The American Rescue Plan Act (ARPA) successfully lowered costs for some enrollee populations in New York, but it failed to address the family glitch and costs may remain high for some individuals, the...
Whether or not a member can speak English fluently may influence their healthcare spending, a recent Health Affairs study uncovered.
From 1999 to 2018, researchers estimated that the number of...
AHIP is urging Congress to extend the American Rescue Plan Act (ARPA) tax credits beyond the current deadline to prevent increased premiums for consumers under the Affordable Care Act (ACA) and to...
Medicare Advantage beneficiaries experience higher rates of problems related to healthcare spending compared to traditional Medicare beneficiaries who have Medicare supplemental coverage, according to...
Ground ambulance rides, which were excluded from the No Surprises Act, continue to contribute to surprise billing in the US, a Peterson-Kaiser Family Foundation brief found.
Experts analyzed 2018...
The 2021 special enrollment period gains on the Affordable Care Act (ACA) marketplaces could have downstream impacts on enrollment-related factors such as customer service investments and risk...
Enrollees are taking advantage of the opportunity to secure lower out-of-pocket healthcare costs on the federal health insurance marketplace during the special enrollment period, a recent CMS report...
After months of negotiations, Blue Cross and Blue Shield of Oklahoma (BCBSOK) and OU Health Physicians (OUHP) settled their dispute and have agreed upon a contract that will keep the provider...
Expanding access to Medicare could help provide coverage for millions of Americans, but the premiums could increase compared to some individuals’ current subsidized exchange plans, according to...
