Articles tagged with Insurance
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Researchers estimated the extent of Medicare Part B medical services subject to private insurer prior authorization under coverage policies. The study found that these restrictions would have resulted in significant spending savings, affecting healthcare delivery and policy.
A new study from Michigan Medicine found that patients who had virtual 'urgent care' visits for upper respiratory infections were more likely to receive additional follow-up care compared to those with in-person visits. This contradicts the expectation that virtual care would reduce downstream visits and emergency department use.
Physician burnout affects patients, with stressed doctors being less compassionate and more likely to make mistakes. Streamlining record-keeping is key to addressing this issue, as per a study published in the Journal of the American Medical Informatics Association.
Researchers found that considering soil organic matter improves water retention, mitigating crop yield losses from drought. Including this data in insurance premiums could reduce liabilities by 36% while increasing corn yields by 35 bushels per acre.
A study by researchers at the University of Connecticut and others found that race and stream flow are significant indicators of flood risk behavior in US cities. The models showed two diverging patterns among metro areas, with 'risk-enduring' communities taking less action against flooding after a disaster.
Researchers at EPFL's HERUS lab used anonymized data from La Mobilière to develop a spatial regression model predicting 12 socio-economic indicators in six categories. The study aimed to show the potential of insurers' datasets beyond marketing purposes, guiding policymakers and government statistical offices.
A new study suggests that grandfathered rates in the National Flood Insurance Program could lead to losses for the NFIP as flood risk grows due to rising sea levels. Experts recommend replacing grandfathering with a gradual phase-in of risk-based insurance prices and providing means-tested assistance to lower-income households.
A RAND Corporation study suggests setting hospital prices can reduce spending by billions, outperforming other approaches like increasing competition or improving price transparency. The report finds that direct price regulation could save up to $236.6 billion annually, cutting national health spending by 1.7% to 6.5%.
A study found that unemployment insurance and a $600 weekly federal supplement reduced food insecurity in low- and middle-income households affected by COVID-19. The research investigated the association between these programs and food insecurity among job losers.
Recent advances in crop modeling and remote sensing can enhance the quality of index insurance programs, increasing the value that index insurance offers to agricultural households and communities. This approach enables inexpensive, quick coverage to many people who would otherwise be uninsured.
Over a 15-year period, the total number of unique patients seeing PCPs decreased by 2.5%, while frequency of contact dropped from 4.3 to 3.7 visits per patient, contributing to the primary care decline.
A study by Michigan Medicine finds that more than half of patients who received telepsychiatry during the pandemic want to continue with virtual mental health care even after COVID-19 ends. The convenience, avoiding exposure to the coronavirus, and patient experience factor heavily into this preference.
A new study found that neurology patients with high-deductible health plans are more likely to have high out-of-pocket costs for diagnostic tests and office visits. Out-of-pocket costs for tests increased by up to 190% over a 15-year period, affecting the ability of patients to receive necessary care.
Researchers analyzed data from a large national health insurer to examine hospital outcomes for patients with COVID-19. The study found that mortality rates declined significantly during the first 6 months of the pandemic, suggesting an improvement in treatment and care.
Researchers find that platform protection insurance increases product orders and variety-seeking behavior among buyers, while boosting customer retention and acquisition for sellers. The study also reveals that PPI acts as a reputable quality signal to reduce transaction uncertainty and purchase risks on the sharing platform.
A study found that virtual doctor visits are increasingly used, with different demographics accessing them at varying rates. Telephone visits were more likely among older patients, Black patients, and those with Medicaid or Medicare insurance.
An observational study found that receiving unemployment insurance is associated with improved mental health, better healthcare access, and lower health-related social needs during the COVID-19 pandemic. The study suggests a positive correlation between unemployment insurance receipt and these outcomes.
A Michigan Medicine-led study finds that nearly 170,000 underinsured transgender Americans access hormones from non-licensed sources, posing health risks. The study highlights the need for improved insurance coverage and access to gender-affirming hormone therapy.
Researchers analyzed health records of nearly 3 million US adults before and after the 2016 presidential election, finding higher acute CVD hospitalization rates following the election. The study suggests that sociopolitical stress may be a contributing factor to increased risk of acute cardiovascular disease.
A new study found that orphan drug costs for children with rare diseases have increased by 65% over five years, with families facing significantly higher out-of-pocket expenses. The top three drugs driving the increase are used to boost height in children with growth hormone deficiency and are prescribed off-label for other conditions.
A study by University of Arizona researchers found that Black and Hispanic people are more likely to live in areas at high risk of flooding. The study suggests that certain reforms to the National Flood Insurance Program could disproportionately negatively impact these groups.
Researchers found that only 70.8% of children received any follow-up treatment for mental illness within the first three months, varying widely by ZIP code. Many children were prescribed strong drugs with little evidence of effectiveness, despite generally recommended therapy as a first line of treatment.
A study of 141 pediatric patients transferred to an adult rheumatology clinic found that continued insurance coverage and referral from a pediatric rheumatologist reduced delays in attending adult visits. Pediatric patients with connective tissue diseases or Black race were particularly vulnerable to unscheduled hospitalizations.
A comprehensive analysis of 59 real-time randomized experiments found that televised campaign ads sway candidate favorability by about 0.05 points and influence vote choice by an average of 0.7%. The impact of each ad is similar regardless of production, context, or target audience
Telehealth visits have skyrocketed for older Americans, with a significant increase in comfort levels and reduced privacy concerns. However, not all older adults see virtual care as an adequate substitute for in-person care, and some still lack experience or access to video conferencing tools.
A Vanderbilt University Medical Center study found that pregnant women face significant challenges accessing opioid treatment, including limited provider availability and high out-of-pocket costs. The study calls for policymakers to intervene and establish systems for timely access to life-saving medications.
A new study reveals that census areas with more white, affluent homeowners file higher flood insurance claims than lower-income minority residents. The researchers found that social demographic variables, including politics and property values, improve predictions of flood insurance claims.
A new study finds that Medicaid-covered mothers are three times less likely to feel they had a choice about their birth experience, compared to those with private insurance. Women on Medi-Cal were also half as likely to have a choice of prenatal provider or be encouraged to make decisions about labor and birth.
A new study by Ohio State University researchers found that most providers in Ohio do not offer same-day IUD placements, with 92% requiring multiple appointments. Insurance coverage was the primary barrier to access, with office staff often citing verification needs as a reason for the delay.
A new study from the University of Georgia finds that bariatric weight loss surgery is more expensive for public insurance patients compared to private insurance. The study analyzed a national dataset and found that Medicare patients paid the highest average cost per surgery, while publicly insured patients paid more overall.
Researchers found that Medicaid expansion under the Affordable Care Act is associated with improved breast cancer stage at diagnosis. The study also revealed disparities in insurance status, age, and race/ethnicity among patients before and after the expansion.
Research found that patients with ARDS experience financial toxicity, leading to physical and emotional consequences. Long hospitalizations result in large medical bills, affecting patients' ability to recover and return to work.
A new study finds that people with Type 1 diabetes spend an average of $2,500 a year on healthcare costs, with diabetes-related supplies costing more than insulin. The study also highlights the importance of automating glucose monitoring and insulin delivery for young children and adolescents with Type 1 diabetes.
A study found that only 16% of commercially insured patients received timely follow-up care after an opioid overdose, with black patients being half as likely to receive treatment. The lack of care is attributed to barriers beyond insurance status and highlights the need for increased adoption of pathways to initiate buprenorphine in EDs.
A new study by Michigan Medicine researchers found that 72% of patients with private insurance could face surprise bills for out-of-network air ambulance services, with average total costs up to $20,000. Ground ambulances also pose a significant risk, with 79% of patients facing surprise bills for non-emergency rides.
A large commercial claims database was used to estimate the percentage of U.S. women in their 40s with private insurance who received screening mammography in 2017, as well as national costs for this screening. The study found that nearly half of these women received screening, resulting in significant healthcare costs.
A new study has found that current flood risk estimates rely on inadequate methods for calculating damage, which match poorly with observations. A beta distribution characterizes building damage at a given flood depth, revealing a high-variability relationship between depth and damage.
A new study found that racial and ethnic minority women are more likely to experience gaps in insurance coverage during pregnancy, leading to increased risks of maternal morbidity and mortality. The study suggests that extending Medicaid coverage to one year after birth could reduce disparities in postpartum health.
This study estimated annual health care spending in the US by payer and health condition, including low back pain, diabetes, and ischemic heart disease. The analysis revealed significant variations in spending across different payers and health conditions.
A new study estimates that Americans spent an estimated $380 billion on low back and neck pain in 2016, combined with other musculoskeletal disorders. This accounts for 14.1% of the total $2.7 trillion in healthcare spending that year.
A study using large health insurer claims data found that approximately 1 in 5 patients received surprise out-of-network bills after having in-network elective surgery. The average potential balance was $2,011, with anesthesiologists and surgical assistants being the most common providers involved.
An economic evaluation of 3.3 million drug insurance claims found that implementing reference pricing was associated with physicians and patients adopting the least expensive alternative within a drug class. The study suggests that this policy change may have a positive impact on healthcare costs and access to essential medications.
A new Tulane University study published in JAMA Network Open found that black and Hispanic patients are more likely to be offered appointments but asked about insurance status, and receive appointments further in the future. This bias in scheduling systems can lead to longer wait times and worse health outcomes for these groups.
A large study of over 33,000 bariatric surgery patients found that gastric bypass patients were significantly more likely to end up back in the hospital after five years compared to those who underwent sleeve gastrectomy. The researchers also found higher rates of endoscopy and abdominal operations for gastric bypass patients.
A study found that Medicaid expansion under the Affordable Care Act (ACA) decreased coverage disruptions among low-income adults. The researchers estimated that half a million fewer adults experienced churning annually, leading to improved access to care and reduced emergency department visits.
Children with public and private insurance are both likely to receive unnecessary medical services, highlighting the need for global efforts to reduce waste. Researchers estimate that up to 4% of publicly insured and 3% of privately insured children receive low-value care at least twice.
Researchers found that opioid prescribing patterns were linked to an increased risk of overdose among adolescents and young adults without cancer. The study used a private insurance claims database to examine 2.7 million individuals, revealing significant associations between opioid use and overdose risk.
A new RAND Corporation study finds that federal disability benefits encourage more family caregiving, with recipients increasing in-kind assistance from adult children and enabling them to reallocate time to care for their parents. The study also shows a significant increase in the likelihood of children receiving payment for their help.
The world's first 'Fisheries Index Insurance' scheme aims to protect Caribbean fishing communities from extreme weather events. However, policymakers must complement climate risk insurance with adaptations actions in coastal ecosystems to ensure its effectiveness.
A study by UMass Amherst researchers found that the 2008 parity law increased Medicaid acceptance rates for substance use disorder treatment centers by more than 10 percentage points. The increase was attributed to an 8.4% boost in 2009, with higher acceptance rates in the Northeast and lower rates in the South and Southeast.
A study from 1900 to 2018 found that hurricanes have become more damaging over time. The researchers developed a method to compare the impact of hurricanes across centuries and found that storms with high land area destruction increased in frequency faster than moderately damaging storms.
A recent study found that implementation of the Affordable Care Act improved insurance coverage for people with both HIV and cancer. However, disparities in insurance coverage still exist among minorities and low-income individuals, who are more likely to live in non-expansion states. The study suggests that further insurance coverage ...
Research found brand pharmaceutical company discount cards for brand-name drugs increased private insurer costs by 46%. The study analyzed data from 2.8 million prescriptions, showing that patients using these cards often paid more due to higher insurance premiums.
A widely used healthcare algorithm was found to show significant racial bias in predicting health risks of black patients. The algorithm underestimates the health needs of black patients and overestimates their health, leading to reduced care allocation.
Researchers at the University of Texas at Arlington are using unmanned aerial vehicles to quickly assess damage from natural disasters. The team aims to reduce wait times for homeowners to receive insurance adjusters, who often take months or years to visit their sites.
A new study finds that US suicide rates have jumped 41% since 1999, with rural areas bearing the brunt. Factors contributing to higher rates include lack of insurance, gun shop density, poverty, and low social connections.
Researchers at the University of Waterloo found that speeding is a strong predictor of car crashes, while hard braking and acceleration had no statistically significant links. The analysis used data from 28 million trips and suggests that insurance companies should look at speed when assessing driver risk.
Experts recommend altering the insurance industry by investing in open-source risk models to enhance society's ability to recover from disasters linked to climate change. The models should provide a long-term view of climate risk and link to insurance solutions.
A study of 8,183 TRICARE patients found no significant differences in quality-of-care metrics between African American and white patients following coronary artery bypass grafting. The results suggest that universal insurance and equal-access healthcare systems may be eradicating racial disparities in care.
A new study found that regularised migrants still face issues with work conditions and opportunities, with many trapped between formal and informal labour markets. The research highlights the importance of labour markets in creating spaces for undocumented workers to live and work.