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Low-income patients face uphill battle when fighting health insurance denials, Umass research finds

Medical Economics

adults with private health insurance between 2017 and 2019. Another finding: about 40% of all denials were due to billing errors by health care providers or processing mistakes by insurers—a reminder that many denials are not based on medical necessity or policy rules, but administrative mishaps.

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Workers Feel “Stuck,” Under-Insured, Financially Stressed, and Neglecting Mental Health

Health Populi

.” In this Health Populi post, I’m weaving together three just-published studies that together fill in a profile of the current state of health consumers in America — in particular, working-insured health citizens. We’ll focus on people who are working and covered with health insurance through an employer.

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The Patient As Payor: Workers Covered by Employer Health Insurance Spend 11.5% of Household Incomes on Premiums and Deductibles

Health Populi

Workers covered by health insurance through their companies spend 11.5% of their household income on health insurance premiums and deductibles based on The Commonwealth Fund’s latest report on employee health care costs, Trends in Employer Health Coverage, 2008-2018: Higher Costs for Workers and Their Families.

Insurance 109
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In the U.S., Patients Consider Costs and Insurance Essential to Their Overall Health Experience

Health Populi

For mainstream Americans, “the math doesn’t add up” for paying medical bills out of median household budgets, based on the calculations in the 2019 VisitPay Report. In the latest OECD report Society at a Glance 2019 , published last week, the U.S. Given a $60K median U.S. As they will also be top-of-mind for U.S.

Insurance 113
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“Complexity is Profitable” in U.S. Healthcare – How to Save a Quarter-Trillion Dollars

Health Populi

trillion of health care spending in 2019; medical spending received 75% of the U.S. Health Populi’s Hot Points : Consider just the line item of “customer and patient services,” and one of all of our least-favorite patient experiences: the dreaded call center. health care dollar.

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The Digital Transformation of Patients – Update from Rock Health and Stanford

Health Populi

Most of these live video calls were also done through a service offered by consumers’ health care providers (doctors/clinicians), followed by services offered by insurance companies. Willingness in sharing health data with insurers, pharmacies, research institutions all fell between 2019 and 2020.

Follow-Up 174
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The Expectation Gap Between What Patients Want Vs What They Get

Health Populi

It’s important to note that the percentage of people who want communication about what their insurance covers versus what they owe is 80%. Thus, patients-as-health-consumers are looking for personalized health care integrally bundled with understanding what that care will personally cost them. Satisfaction outweighs loyalty.