PatientEngagementHIT

Healthcare Payers

Insured Patients See High Premiums, Out-of-Pocket Healthcare Costs

December 13, 2018 - Middle-income families spend 11 percent of their annual incomes on out-of-pocket healthcare costs and insurance premiums and deductibles, according to a recent report from the Commonwealth Fund. Using data from the federal Medical Expenditure Panel Survey – Insurance Component (MEPS – IC), the researchers looked at non-elderly adults with employer-sponsored healthcare....


More Articles

Patient Care Access Key as Patients Report Pre-Existing Conditions

by Sara Heath

More than one in four Americans have a pre-existing condition that would impact patient access to health payer coverage, according to a recent Gallup poll. These results shed more light on the national debate about pre-existing conditions...

Payer Program Addresses Loneliness as Social Determinant of Health

by Sara Heath

Cigna is joining the fight against patient loneliness, a key social determinant of health, by offering a patient-facing survey and personalized health improvement recommendations on its website. Using a 10-question version of the UCLA...

Low-Cost Health Plans Come with High Deductibles, Patient Spending

by Sara Heath

Low-income patients can access a health plan with little to no out-of-pocket cost on the ACA health insurance markets, but these plans come with a catch, according to new data from the Kaiser Family Foundation. These subsidized health...

Health Payer Preventive Care, ED Denials Hamper Patient Care Access

by Sara Heath

Health payers are denying coverage for preventive care screenings and emergency department (ED) care at a high rate, according to patient advocacy group Doctor-Patient Rights Project (DPRP). In doing so, payers are hindering patient care...

How Payers Use Data Analytics for Personalized Member Experience

by Sara Heath

As the health payer industry has continued its focus on improving patient engagement and member experience, experts have observed a need for more personalized and simplified medicine. And for Firdaus Bhathena, Chief Digital Officer at...

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...

Premiums, Deductibles Increase as Patient Healthcare Costs Rise

by Sara Heath

Healthcare costs are continuing to be burdensome for patients, even when patients have health payer coverage, according to a recent survey from the Kaiser Family Foundation. More patients have health plans with a deductible, meaning the...

Payer Awards $2M for Social Determinants of Health, Community Health

by Sara Heath

The Aetna Foundation has awarded nearly $2.4 million in grant funding to 25 non-profit organizations working to address the social determinants of health. These grants come as a part of the Aetna Foundation’s Building Healthy...

CMS Updates eMedicare Website to Improve Beneficiary Experience

by Sara Heath

CMS has revamped the eMedicare website, adding new tools to enhance the Medicare beneficiary experience when searching for a health plan. These updates include tools aimed at making it easier for beneficiaries to understand plan details,...

Payers Face Disconnect in Beneficiary Engagement Preferences

by Sara Heath

Medicare plans are failing to deliver member and beneficiary engagement in the form that members most prefer, according to new data from HealthMine. Specifically, health plan members want their payers to engage them using health IT....

Beneficiary, Patient Engagement with Health IT, Payers Increases

by Sara Heath

Patient engagement with their own health and health providers is markedly increasing, with more patients using health IT to improve their health and better understand their health payer plans, according to new data from...

Health Payer Coverage Access Cuts Patient Financial Strains

by Sara Heath

Patient access to comprehensive health payer coverage has reduced patients’ financial strains, according to new research from the University of Michigan Institute for Healthcare Policy & Innovation. As patients gain access to...

Payers, Purchasers Must Guarantee Mental Health Access Parity

by Sara Heath

When compared to access opportunities for physical health treatment, mental health access leaves something to be desired, according to a recent report from the National Alliance of Healthcare Purchaser Coalitions. Healthcare payers and...

Building Healthcare Partnerships to Drive Beneficiary Engagement

by Sara Heath

When it comes to beneficiary engagement, healthcare payers cannot go it alone. Strong healthcare partnerships with plan members, community stakeholders, and providers help payers understand the best avenues for member outreach. This much...

CMS Announces Patient Navigator Funding, Enrollment Changes

by Sara Heath

CMS has announced the recipients of $10 million grant funding for patient navigator programs, considerably slashing the resources states will have to connect patients with comprehensive health insurance. The patient navigator program was...

Low Health Literacy Costly for Payers, Health Plan Simplification Needed

by Sara Heath

Low patient health literacy costs US healthcare payers nearly $4.8 billion in administrative costs each year, suggesting a need for health plan simplification, according to a new report from Accenture. While it is important for healthcare...

Complex Health Plan Benefits Give Rise to Surprise Medical Bills

by Sara Heath

Fifty-seven percent of healthcare consumers have received a medical bill that they thought to be covered by their healthcare payers, according to a recent survey from NORC at the University of Chicago. Patients perceive these surprise...

How Does Step Therapy Impact Patient Care Access, Costs?

by Sara Heath

As the healthcare industry grapples with growing prescription drug costs, patients are feeling the burden with higher patient financial responsibility. Step therapy has long been one strategy to quell those growing costs, but what are the...

One in Five Patients Use CMS Star Ratings for Healthcare Decisions

by Sara Heath

Only about one-fifth of Medicare Advantage beneficiaries are familiar with the CMS star ratings that rank payer coverage, according to a recent HealthMine survey. This finding runs counter to the agency’s intentions for the star...

X

Sign up for our free newsletter:

Our privacy policy


no, thanks

Continue to site...