PatientEngagementHIT

Patient Responsibility News

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

January 17, 2019 - 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 drug plans. The proposal, announced in May 2018 as a part of the Trump Administration’s drug pricing blueprint, would create drug price...


Articles

Verma: Price Transparency Rule Critical First Step for CMS

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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

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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

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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...

Price Transparency Rules Take Effect, Slated to Empower Patients

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As of January 1, 2019, hospitals across the country are responsible for full price transparency, a move that will allow patients to make informed decisions about care access. The mandates come as a part of the 2019 inpatient prospective...

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

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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...

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

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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...

Industry Groups Call on Protections from Surprise Medical Bills

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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

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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...

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

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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...

CMS Drug Price Proposal Aims to Cut Out-of-Pocket Patient Spending

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CMS has proposed a new drug price model for Medicare Parts C and D that will ideally reduce out-of-pocket patient spending. The policies, which if approved would go into effect in 2020, would impact Medicare Advantage and Medicare Parts C...

Can Medical Crowdfunding Address Patient Financial Responsibility?

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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

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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

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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

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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...

Patient Financial Struggles Suggest Need for Better Payment Plans

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Over one-quarter of families are delaying medical care because of cost concerns and high patient financial responsibility, according to a recent survey conducted by ORC International on behalf of AccessOne. Payment plans and other...

Breaking Down HHS Drug Advertisement, Price Transparency Proposal

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A storm is brewing between the Department of Health & Human Services and the pharmaceutical industry, as experts on both sides debate drug advertisements and requirements for consumer-centered price transparency. Causing the debate is...

How to Create Patient Satisfaction During the Bill Pay Process

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As the healthcare industry continues to be marked by high patient financial responsibility and out-of-pocket costs, practice leaders strive to ensure the bill pay process yields high patient satisfaction. After all, a positive experience...

CMS Proposes Drug Price Transparency in Ads Amidst Pharma Pushback

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A CMS proposal could require drug manufacturers to offer full price transparency in direct-to-consumer advertisements, a move that could be met with legal pushback from the nation’s pharmaceutical trade groups. The CMS proposal...

How Patient Experience in Billing Offices Impacts Patient Payments

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A poor patient experience with the hospital billing department can have an impact on patient payments and financial responsibility, according to a new survey published by Connance. The Connance Consumer Impact Survey of 2018, which...

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