Eighty-six percent of physicians reported that prior authorization burdens increased over the past 5 years.
Insurers within the ACA marketplace covered a disproportionate share of non-elderly adults with high healthcare risks from 2014 to 2015.
Physicians report an increase in the burden of prior authorization over the last 5 years.
The proposed CVS-Aetna merger is a $70 billion deal that may shape the future of health care for years to come.
Preconception health care coverage has been linked to better access to health care for mothers and infants.
Emergency department visits declined by 14% among study participants were switched to a high-deductible health plan.
Insurance companies believe that if there are enough hurdles to jump over — and if the hurdles are high enough — patients and physicians might stop running.
Overall, implementation of the Affordable Care Act has been associated with reduced out-of-pocket healthcare spending.
In the new partnership, Aetna will have access to data on pharmaceutical usage patterns that will allow the company to carefully parse the insurance risks it takes on.
One of the major pitfalls of concierge medicine is that physicians must limit their practice to guarantee the accessibility offered by the model in exchange for the retainer.
Physicians must report on at least 1 patient and 1 measure by December 31, 2017 and submit the report to Medicare no later than February 28, 2018.
If the government required insurers that participate in Medicare or Medicaid to participate in the marketplaces in the same geographic area, there would be potential to improve access.
The cost of observation care has increased for commercially insured patients, but it is still lower than spending for short-stay hospitalizations
The Value-Based Payment Modifier is not associated with differences in performance between practices serving higher-risk and lower-risk patients.
Improvements in cancer survival were limited to patients with private or Medicare insurance.
Researchers note that the best-price rule may be an impediment to some novel pricing arrangements in the private sector, but there are ways to avoid or mitigate its impact.
In highly concentrated markets, hospital admission, cardiologist, radiologist, and oncologist visit prices were lower.
Coalition urges insurers to apply reform principles to current prior authorization programs.
The uninsured rate was 9% in 2016, compared with 9.1% in 2015.
There was a slight increase in the percentage of insurance products offered by hospitals and health systems from 2011-2015.
Counties exposed to higher volumes of local insurance ads had a larger drop in uninsurance.
In first nine months of 2016, 12.3% of adults aged 18 to 64 and 5% of children were uninsured.
An international study finds a wide variance in how medical professionals determine benefit recipients.
However, nearly 1 in 7 of those with a chronic disease still lack coverage.
Strategy would encourage manufacturers and insurers to share accountability for clinical outcomes
Prescription drugs are the fastest growing expense, report shows.
Although a hospital may be in an insurance network, the treating physician may not be.
There was a decrease in the proportion of Part D beneficiaries who experienced coverage gap to 40.9% in 2011.
Approximately 57% of health professionals perceive improved coverage as a solution to improve outcomes in obese patients.
This report shows that only 3.5% of employers dropped coverage and 1.1% added coverage from 2013 to 2014.