PatientEngagementHIT

Healthcare Costs

Out-of-Pocket Patient Spend Soars as Utilization is Unchanged

February 14, 2019 - Healthcare costs and out-of-pocket patient spending is increasing, despite consistent healthcare utilization, according to the Health Care Cost Institute (HCCI) 2017 Health Care Cost and Utilization Report. The report, which looked at claims data for about 40 million individuals on employer-sponsored health plans, revealed that healthcare spending is continuing to rise. “Health...


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Clinicians Doubt Patient Care Access, Costs Reduction Progress

by Sara Heath

Reducing patient healthcare costs and increasing patient access to care are key priorities in 2019, most clinicians agree, but there isn’t much hope that the industry will achieve these goals, according to a recent poll from...

Senators Seek Payer, Provider Data on Surprise Medical Bills

by Sara Heath

A group of US senators are calling on healthcare payers and providers to offer more information about surprise medical bills and balance billing. Ideally, this information will help the legislators supplement their bipartisan bill to...

How Can CMS Address Senior Poverty, Patient Healthcare Costs?

by Sara Heath

Cutting patient healthcare costs will be a key step toward addressing senior poverty, which is ultimately a high priority for the Centers for Medicare & Medicaid Services (CMS), the agency said in a blog post. Late last month, the...

HHS Proposal Reforms Drug Rebates to Reduce Patient Spending

by Sara Heath

HHS has proposed to eliminate drug kickbacks and rebates passed from manufacturer to pharmacy benefits manager (PBM), instead requiring those types of savings to be passed directly to patients. This is a part of the Department’s...

How Can Health Pros Address Cost as Medication Adherence Barrier?

by Sara Heath

As healthcare professionals continue to push for better chronic disease management, they continue to face high healthcare costs as a primary medication adherence barrier. Numerous studies have indicated that drug costs serve as the...

Chronic Disease Management, Diabetes Patient Costs Up $6K

by Sara Heath

Chronic disease management and treatment for individuals with type 1 diabetes can cost patients thousands of dollars each year, primarily due to the increasing cost of insulin, according to a recent report from the Health Care Cost...

Cost Hampers Patient Care Access, Clinical Trial Participation

by Sara Heath

Patient care access and cost of care are considerable concerns for patients with muscular dystrophy and their family caregivers, with nearly half of patients saying cost is a major care access barrier, according to the ONEVoice survey from...

Medicare Part B Drug Plan Could Raise Out-of-Pocket Patient Costs

by Sara Heath

An HHS proposal to shift some Medicare Part B drugs to Medicare Part D may decrease overall drug spending, but it could increase out-of-pocket patient costs, data suggests. The HHS proposal would shift Part B drugs to Part D prescription...

Verma: Price Transparency Rule Critical First Step for CMS

by Sara Heath

Healthcare organizations may only need to post chargemaster lists online for now, but that doesn’t mean they can’t create their own initiatives to improve price transparency, said CMS Administrator Seema Verma in a press call...

Out-of-Pocket Insurance Costs Challenge Pre-Medicare Patients

by Sara Heath

The out-of-pocket costs of health insurance coverage is daunting for older adults who don’t yet qualify for Medicare, posing insurance and treatment access issues for this population, according to a recent AARP/University of Michigan...

Cerner Collaboration to Drive Drug Price Transparency in the EHR

by Sara Heath

EHR vendor Cerner and CoverMyMeds, a health IT company that focuses on prior authorizations, have partnered to bring point-of-care price transparency to patient and provider. The partnership will put contextualized drug prices in front of...

High Out-of-Pocket Costs Hamper Care Access for 30% of Patients

by Sara Heath

Patients are still delaying treatment as a means to manage high out-of-pocket costs, marking a decade-long trend in the medical industry, showed a recent Gallup poll. Twenty-nine percent of US patients delayed healthcare in 2018 because...

Industry Groups Call on Protections from Surprise Medical Bills

by Sara Heath

The healthcare industry must adhere to a set of core standards to protect patients from surprise medical bills, said a group of industry leaders in a new position statement. The statement was issued by America’s Health Insurance...

Confronting Indirect Patient Healthcare Cost Hurdles, SDOH

by Sara Heath

Patients face numerous indirect healthcare cost hurdles that impact their ability to access treatment, according to a recent guidance from America’s Essential Hospitals. The guidance, which comes as a part of an entire library of...

Can Medical Crowdfunding Address Patient Financial Responsibility?

by Sara Heath

As patient financial responsibility continues to grow, healthcare consumers are looking for ways to pay for their medical bills. In that pursuit, medical crowdfunding has emerged. Medical crowdfunding is the practice of collecting...

Price Transparency Essential to Lower Out-of-Pocket Patient Costs

by Sara Heath

Price transparency and clarity within the chronic care management medication supply chain will be essential for reducing out-of-pocket patient costs, according to a new report from the Congressional Diabetes Caucus. The report, which...

Retirees Need More Savings for Out-of-Pocket Healthcare Costs

by Sara Heath

Retired Medicare beneficiaries need to see their savings accounts swell by 9 percent if they want to cover their out-of-pocket healthcare costs, according to new data from the Employee Benefit Research Institute (EBRI). Those...

Health Payer Incentive Program Supports Patient Drug Price Shopping

by Sara Heath

UnitedHealthcare has announced plans to offer a rewards program for patients who seek out lower-cost drug options. This comes as part of the health plan’s efforts to put a cap on prescription drug spending and empower patients to...

HHS Drug Payment Proposal May Cut Out-of-Pocket Patient Costs

by Sara Heath

HHS has unveiled the International Pricing Index (IPI), a proposed payment model that would allow Medicare to set drug prices at rates closer to those in other developed nations. This move has the potential to reduce out-of-pocket patient...

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