Out-of-Pocket Payments

Dec 18 | Susan Morse

Healthcare expenditures rise on increased coverage and utilization

Much of the growth in private health insurance was due to rapid growth in marketplace enrollment, as a result of enhanced…

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Senior and younger caregiver looking out a window

Dec 18 | Jeff Lagasse

Trends 2025: Medicare Advantage prospects strong despite challenges

Higher-than-expected utilization and low reimbursement have challenged the program in 2024.

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Dec 11 | Jeff Lagasse

Premiums to increase if ACA enhanced subsidies expire, CBO says

Without an extension, the CBO estimates that the number of uninsured Americans would increase by 2.2 million in the first year.

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Dec 09 | Jeff Lagasse

Older Americans struggling with healthcare costs

Nearly one in four older adults in the U.S. spent at least $2,000 out of pocket on healthcare last year, survey shows.

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Hands tapping pills out of a pill bottle

Dec 03 | Jeff Lagasse

Lawmakers push DOJ to investigate PBMs over opioids

The letter was spurred by a report showing PBMs allegedly pocketed rebates instead of passing them on to consumers.

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Nov 26 | Susan Morse

CMS announces obesity drug coverage in Medicare, Medicaid

The proposed rule would need to become final under the Trump Administration.

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Nov 21 | Jeff Lagasse

Almost a quarter of Americans underinsured, survey finds

Underinsured Americans often skip or delay care, resulting in the worsening of health conditions, survey finds.

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Nov 13 | Jeff Lagasse

AHA promotes healthcare navigators in letter to CMS

Part of the reason navigators are so valuable, the group says, is that health insurance coverage falls short for many Americans.

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Clinicians walking down hospital corridor

Nov 04 | Jeff Lagasse

Aetna offering new health plan for the self-insured

SimplePay Health is intended to further reduce costs and improve outcomes, company says.

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Oct 28 | Jeff Lagasse

AMA files lawsuit alleging price-fixing by MultiPlan

According to the AMA, this has undercut fair payment for out-of-network healthcare services and eliminated market competition.

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Improving the Patient Financial Experience Throughout the Patient Journey While many healthcare providers believe that improving the patient financial experience is a critical step for their organization, few have done so successfully. Read this brief to learn strategies that increase patient ...

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