Articles tagged with Insurance
The American Gastroenterological Association recommends integrating non-invasive biomarkers for patients with ulcerative colitis in remission or with current symptoms. Biomarkers provide accurate insights into disease activity, offering a cheaper and more convenient option for monitoring.
A new USC study reveals that Medicare Advantage plans have seen a 337% increase in enrollment, while traditional Medicare has declined by nearly 3%. This trend suggests that Medicare beneficiaries are increasingly choosing MA plans over traditional Medicare.
A new study reveals that all 50 US states now allow minors to consent independently to some STI/HIV services, but confidentiality protections are rare and vary significantly. The laws remain complex, with gaps in coverage for prevention services like the HPV vaccine and PrEP.
A new study found that primary care visits addressing mental health concerns rose by almost 50% over a decade, with Black and Hispanic patients facing barriers to access. Primary care physicians welcome the opportunity to address mental health concerns but need better support systems.
A new study finds that Florida neighborhoods affected by hurricanes experience gentrification, with average income of new buyers increasing while long-term demand stays stable. Weaker income households struggle to access affordable housing options after the storms.
A new study finds that climate risk insurance can effectively mitigate economic losses from US hurricanes under global warming, accelerating economic recovery. However, national insurance mechanisms in developing countries are insufficient to cope with extreme weather events, highlighting the need for international climate finance and ...
Rates of pediatric firearm injuries increased significantly during the COVID-19 pandemic, persisting through 2021. Non-Hispanic Black children and those with public insurance were disproportionately affected, highlighting a pressing need for gun safety measures.
A study of over one million Medicaid beneficiaries found that more than half experienced significant lapses in coverage, with only 25% continuously enrolled throughout the period. The authors recommend increasing investments to improve long-term health outcomes.
A study found that high deductible health plans can lead to a decrease in the number of women undergoing indicated breast imaging, particularly those with lower incomes and education levels. The researchers hope their findings will inform efforts to remove financial barriers to care and improve health outcomes for vulnerable populations.
Primary care clinicians are more likely to prescribe CGM when closer to specialized endocrinologists and serving more Medicare patients. Expanded insurance coverage and consultation on CGM issues can support increased use of the technology.
A new study by researchers at the University of Michigan finds that patients with documented housing instability were more likely to receive diagnoses for mental, behavioral, and neurodevelopmental conditions, and had longer hospital stays. The study used data from 2017-2019 and found that caring for hospitalized people with housing is...
Research on interventions to mitigate housing insecurity found low-certainty evidence of positive health outcomes, primarily for emergency rent assistance and homeownership assistance. However, existing interventions may need to be paired with other efforts to address structural determinants of health.
Researchers at Cornell University found that FEMA's federal home buyout policies are inaccessible and inequitable due to bureaucratic hurdles. By studying regional and state programs, the team suggests that coordinating local strategies can make these buyouts more effective and equitable for all communities.
A recent study of 4.8 million children with otitis media found that socially disadvantaged kids were less likely to receive treatment, increasing their risk of complications and hearing loss. The findings highlight the need for equitable access to ear infection treatment for all children.
The new guidelines, issued by the American Society for Metabolic and Bariatric Surgery (ASMBS) and the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO), recommend metabolic and bariatric surgery for individuals with a BMI of 35 or more, regardless of obesity-related conditions. The guidelines also endo...
A study of over 100,000 emergency room visits and 95,000 mental health hospitalizations found that less than half received follow-up care within 30 days. Having established primary care and mental health care before an acute psychiatric service use is crucial for improving follow-up rates.
A new study published in PLOS Medicine found that Medicare eligibility at age 65 is associated with significant improvements in health care access and financial strain for low-income adults. The study also found modest effects on higher-income adults, suggesting that lowering the age of Medicare eligibility could advance health equity ...
A new study analyzes the benefits and harms of prior authorization policies in Medicare Advantage, highlighting their impact on patients and clinicians. The researchers propose several measures to improve the use of PA in Medicare, including electronic-based processes and enhanced transparency.
The study found a significant decline in peritoneal dialysis-associated peritonitis rates over time, with consistent differences in risk by race and age. The decline suggests improvements in clinical practice and highlights the importance of uniform coding standards to identify additional risk factors.
Researchers at the University of Pittsburgh have identified a universal mechanism for lysosomal repair, known as the PITT pathway, which helps maintain cellular longevity. The study reveals that damaged lysosomes are quickly repaired through the PITT pathway, but defects in this process can contribute to age-related diseases such as Al...
A recent study found that private equity firms acquiring physician-owned medical practices increase patient volume and billing for visits, raising concerns about the corporatization of healthcare. The study examined 578 physician practices acquired by private equity firms between 2016 and 2020.
A new study from the University of Georgia found that counties with moderate-to-high wildfire risk are more likely to have higher poverty rates. The researchers identified 14 states in the lower 48 with the highest wildfire risk, including Arizona, California, and Texas.
A new USC analysis found that the largest Medicare Advantage plans pay 27% more for outpatient dialysis treatment compared to traditional Medicare. This significant markup is attributed to the consolidation of the dialysis industry, with two large chains supplying over three-quarters of all dialysis services in the US.
A new funding model is being tested in Pennsylvania, which could lead to higher quality care at lower costs. The global budget model provides a fixed payment to hospitals, incentivizing them to focus on patient outcomes rather than extensive care.
A study of nearly 3 million adults found no increased mortality among uninsured or Medicaid patients after major surgery during the pandemic compared to commercial insurance holders. The findings contradict previous concerns about unequal access to care.
A study of 5,329 US patients who died from medical aid found that well-educated, white patients with cancer dominated the group. The majority (72%) had some college education and nearly 75% had cancer.
A new study from Oregon Health & Science University finds almost six out of ten in-network providers listed under Oregon Medicaid provider directories are not actually available to see patients. This 'phantom' networks undermine access to care, leading to delays and interruptions in treatment.
A new study found that dispute resolution outcomes in Texas were largely anchored to the median in-network allowed amount, rather than a higher alternative benchmark. This suggests that a market-based monetary benchmark can influence dispute outcomes and may result in significant savings for consumers.
A Rutgers study reveals that racial and ethnic minority groups were less likely to obtain prescriptions to treat opioid addiction during the COVID-19 pandemic. This trend is particularly concerning, as minority groups face more barriers to healthcare and are already disproportionately affected by the pandemic.
A study published in Annals of Internal Medicine found that Medicare could save up to $3.6 billion by purchasing generic drugs at the same prices as the Mark Cuban Cost Plus Drug Company. The researchers compared the price of 89 generic drugs sold by MCCPDC to the price Medicare paid in 2020 and estimated potential savings of up to $3....
A recent OSU study found people with rare diseases often wait years for diagnosis, experience anxiety, depression and stigma due to inaccessible care. Education of medical professionals is crucial to address these challenges.
A new study has identified persistent racial and ethnic disparities in five-year survival rates for younger adults with colorectal cancer. White patients had a higher five-year relative survival rate compared to Black, Hispanic, and Asian patients, regardless of disease stage.
Researchers found a notable decline in postpartum insurance loss during the pandemic, primarily due to growing Medicaid enrollment. The study suggests that large increases in consistent Medicaid coverage contributed to this trend.
Researchers found that states with telehealth reimbursement parity policies had higher rates of face-to-face and virtual contraceptive appointments during the pandemic. The study suggests that increased access to contraception through telehealth may have contributed to improved reproductive health outcomes.
A California study found that adults living with handgun owners had twice the homicide rates compared to those without, with most victims being women. Survivors of nonfatal gunshot injuries also experienced significant healthcare costs and worsening mental health.
A new study by Resources for the Future and Columbia University finds that losing a hectare of wetlands can cost society an average of $1,900 in flood damages per year. In developed areas, this figure rises to over $8,000. The research highlights the importance of preserving wetlands for flood mitigation.
New research published in Strategic Entrepreneurship Journal suggests that higher unemployment insurance benefits discourage entrepreneurship by disincentivizing business creation and discouraging people from transitioning out of unemployment. Removing profit deduction requirements could encourage more unemployed entrepreneurs to start...
Researchers urge federal intervention to make naloxone widely available, citing a 30% increase in fatal overdoses from 2019 to 2020. The lack of accessible distribution points and high costs are major barriers to access, with one prescription dispensed for every 70 high-dose opioid prescriptions nationwide.
A new study found that nearly one in five children with complex medical conditions require out-of-network care for behavioral health treatment, resulting in higher costs and burdens for families. The study highlights the need for improved provider networks and policy solutions to address this issue.
Two studies on hurricane and wildfire survivors found that negative personal experiences drive adaptation behaviors, while considering vulnerabilities is crucial for effective communication and policy. These findings inform public communications and policy to empower vulnerable communities.
Researchers found a significant increase in the quantity of contraceptive supply dispensed after a 2016 Oregon policy change requiring insurers to cover a 12-month supply. This study suggests that such policies can positively impact access to contraception, potentially reducing unintended pregnancies and healthcare costs.
Adults with spinal cord injuries have a near-80% increased risk of developing psychological conditions compared to those without the injury. Chronic pain is equally negatively impacting mental health, associated with post-traumatic stress disorder and other mental health conditions in most cases.
The US healthcare system is failing to provide adequate care for traumatic brain injury (TBI) survivors, experts warn. A recent report recommends using a comprehensive classification system that incorporates the Glasgow Coma Scale score, CT scans, and blood tests to better assess the severity of TBI.
Rates of cervical cancer screening have dropped in the US, with significant disparities found across sociodemographic groups. The study highlights the need for targeted campaigns to address lack of knowledge as the primary reason for not receiving timely screenings.
A survey study analyzed changes in acupuncture insurance coverage in the US from 2010 to 2019, revealing a decline in coverage over the decade. The study found that insurance coverage for acupuncture decreased significantly during this period, with significant implications for access to alternative therapies.
Researchers found that buprenorphine providers are less likely to discriminate between Medicaid and privately insured patients, but patients face numerous barriers to obtaining an initial appointment. Despite this, disparities persist in access to OUD treatment.
A new study found that having crop insurance in Indiana discourages the use of cover crops, which promote soil health and productivity. However, the impact is relatively minor, with only a 0.494% reduction in cover crop adoption rates for each percentage point increase in crop insurance participation.
Annual Wellness Visits (AWV) reached 47.6% among commercially insured white women with congenital disabilities, but were lower among Hispanic men with acquired disabilities. AWV use is nearly 15% less than the general population threshold.
A USC Schaeffer study finds that middlemen in the insulin distribution chain now capture approximately 53% of net proceeds, up from 30% in 2014. Meanwhile, manufacturers receive a decreased share, but the total cost to the healthcare system remains relatively flat.
Experts call for a national compensatory body and guarantee fund to compensate victims of mass-hacking, citing potential catastrophic consequences and financial losses. The UK has an opportunity to establish itself as a leading role in connected and autonomous vehicle development by creating an insurance fund.
The Charles Lazarus Children’s Abilities Center at Mount Sinai offers cutting-edge treatments for children with disabilities, including physical, occupational, and speech therapy. The center features state-of-the-art equipment and a multidisciplinary team of experts providing comprehensive care to children from birth to age 21.
New studies show that patients with abnormal screening results may face significant out-of-pocket costs for follow-up tests, potentially delaying care. For women, colposcopy costs rose sharply over 13 years, with some facing bills of nearly $1,000. Lung cancer screening CT scans also led to high costs for invasive procedures.
A new observational study found that hospitalists who worked more days per year had higher patient mortality rates. The study examined 1.2 million Medicare patients and suggested that longer work hours may contribute to poorer outcomes.
A recent study found that nearly three-quarters of non-elderly adults in the U.S. experience at least one healthcare-related administrative task per year, with those needing more medical care disproportionately affected. Existing racial and socioeconomic inequities also exacerbate these burdens.
A new study found that non-Hispanic Black and Mexican American adults are diagnosed with type 2 diabetes at an average age of 46-47 years old, four to seven years earlier than non-Hispanic white adults. Preventive measures such as nutrition counseling and physical-activity programs can prevent or delay the onset of diabetes.
A recent study by University of Massachusetts Amherst found that fewer than 5% of well-child visits for privately insured young children included a recommended dental fluoride varnish application. This is concerning given the importance of this service in reducing tooth decay among children, which affects nearly 25% of 2- to 5-year-old...
A Korean National Health Insurance System study found frequent drinking is a more important risk factor for gastrointestinal cancers than the amount of alcohol consumed per occasion. This observational study suggests that individuals who drink frequently are at higher risk of developing gastrointestinal cancers.
A new study compares Medicare Advantage with traditional Medicare across different racial and ethnic groups, finding disparities in care access and quality. The research highlights the need for targeted interventions to address health inequities in these populations.
Prices paid to in and out-of-network anesthesiologists decreased after surprise billing legislation was introduced, with California and Florida seeing significant drops. In-network prices also decreased in these states, suggesting a direct impact on provider-payer negotiating dynamics.
A survey study found significant disparities in insurance coverage and access to health care among low-income families and people of color across four Southern states during the COVID-19 pandemic. The study revealed increased challenges in accessing medical care due to limited insurance coverage and other factors.