PatientEngagementHIT

Patient Financial Responsibility

Healthcare Costs Limit Patient Access to Care for DoD Beneficiaries

August 16, 2018 - Patients enrolled in the Department of Defense’s military health plan are facing high healthcare costs, hampering adequate patient access to care and patient satisfaction, according to a recent survey from the Military Officers Association of America (MOAA). The survey of 8,500 beneficiaries of the military health plan, TRICARE, are unhappy with the plan’s current options....


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Patients Unprepared for Out-of-Pocket Costs for Long-Term Care

by Sara Heath

Patients underestimate the financial responsibility associated with beginning long-term care, with many leaving themselves unprepared for the high out-of-pocket costs at long-term care facilities, according to a recent survey from Moll Law...

Point-of-Care Price Transparency Needed for Patient Care Access

by Sara Heath

Three-quarters of patients experience “sticker shock” when prescribed a medication that was more expensive than they anticipated, according to a new survey from CoverMyMeds. These results highlight the need for better price...

CMS Allows Medicare Advantage Plans to Adopt Step Therapy

by Sara Heath

CMS has given new authority to Medicare Advantage plans that allows those plans to negotiate lower drug prices. These new policies will specifically allow Medicare Advantage Plans to practice step therapy, which CMS says will create cost...

Health Payer Introduces Price Shopping Tool to Drive Care Quality

by Sara Heath

BlueCross BlueShield of North Carolina (Blue Cross NC) has launched a price shopping tool that allows patients to receive incentives for selecting what the insurer deems lower-cost and higher-quality healthcare services. Using the new...

Patient Groups Advocate Patient Access to Care in Drug Blueprint

by Sara Heath

The Department of Health & Human Services’ drug pricing blueprint presents numerous opportunities to lower drug prices, but the agency should be wary of changes that would restrict patient access to care, the American Cancer...

Using Payment Plans to Ease Patient Financial Responsibility

by Sara Heath

High patient financial responsibility has become known as one of the biggest barriers to patient care in the country. As patients rack up higher and higher medical bills, it is perhaps more attractive for the patient to skip out on care...

FDA: Patient Access to OTC Drugs to Cut Out-of-Pocket Drug Costs

by Sara Heath

A draft guidance from FDA will help patients navigate over-the-counter (OTC) drug alternatives for some of their usual, prescription chronic disease management drugs. Ideally, this will promote patient choice in their own medications and...

Patient Advocates Call for Drug Price Transparency in HHS Blueprint

by Sara Heath

The Department of Health & Human Services’ plans to reduce out-of-pocket patient costs and address rising drug costs is on the right track, but requires some fixes to better guide patients when purchasing their medications,...

Patients Support Efforts to Cut Out-of-Pocket Drug Costs for Seniors

by Sara Heath

Patients largely support legislative measures that would stabilize the Medicare Part D program, stating that such measures could reduce rising patient financial responsibility and out-of-pocket drug costs, according to a Morning Consult...

Health Payers See High Patient Satisfaction Despite Cost Concerns

by Sara Heath

Despite high patient satisfaction with health payers, most healthcare consumers associate high healthcare costs with the insurance market, according to a recent survey from Survata on behalf of HealthEdge. The survey of nearly 2,500...

Patient Billing, Financial Responsibility Frustrates 70% of Patients

by Sara Heath

Despite increasing patient financial responsibility and healthcare costs, the medical industry is still not leveraging the best strategies for assisting patient billing, according to a new survey from InstaMed. The Trends in Healthcare...

Generic Prescription Drug Prices, Patient Cost-Sharing Increase

by Sara Heath

Medicare Part D beneficiaries are paying more for generic prescription drugs, despite the fact that the market price for those drugs has remained unchanged, according to an analysis from Avalere. This trend is likely due to the tier these...

Proposed Drug Price Changes to Increase Patient Out-of-Pocket Costs

by Sara Heath

Proposed amendments to drug price coverage could adversely impact patient out-of-pocket costs, causing some patients to pay more for their treatments than they had before, according to a recent analysis from Avalere. Earlier this month,...

High Drug Prices Account for One-Quarter of Patient Insurance Costs

by Sara Heath

The majority of a patient insurance costs go toward paying for prescription drugs, with high drug prices accounting for 23.2 cents of each dollar spent on an insurance premium, according to a recent analysis from America’s Health...

Clinician Org Says Trump Drug Price Plan Harms Patient Care Access

by Sara Heath

Physicians are harboring concerns that the Trump Administration’s recently-announced plans to revamp prescription drug pricing will harm patient care access, increase patient costs, and reduce overall care quality, according to a...

CMS Updates Drug Price Dashboard to Improve Price Transparency

by Sara Heath

CMS has updated its drug pricing dashboards to better reflect the price transparency ideals stated in President Trump’s recent address on drug pricing and out-of-pocket patient costs. The updates will highlight year-over-year...

Patient Worry About Out-of-Pocket Healthcare Costs at All-Time High

by Sara Heath

Few patients are confident they can afford an expensive medical bill, as high out-of-pocket healthcare costs continue to be a cause for patient concern, according to a report from the Commonwealth Fund. This report was informed by a...

Trump Calls for Drug Price Transparency to Lower Patient Health Costs

by Sara Heath

Drug price transparency and reducing out-of-pocket patient costs were at the forefront of President Donald Trump’s remarks on drug pricing today. “One of my greatest priorities is to reduce the price of prescription drugs. In...

Doc Help Needed to Overcome High Out-of-Pocket Healthcare Costs

by Sara Heath

Patients are continuing to cite high out-of-pocket healthcare costs as significant barriers to care, putting more pressure on providers to identify and alleviate those problems, according to a new study from the University of Texas...

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