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“BenefitsLink continues to be the most valuable resource we have at the firm.”
-- An attorney subscriber
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Search the News Archive
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21 Matching News Items |
| 1. |
JAMA Health Forum
June 5, 2025
"[T]he US spends $13 432 per person on health care, nearly double what most comparable countries spend on average ... The U.S. spends more than other countries on health care not because U.S. individuals use more care, but rather because of higher prices. Higher U.S. health care prices are primarily driven not by public programs like Medicare or Medicaid, but rather by the commercial insurance sector."
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| 2. |
JAMA Health Forum
Mar. 13, 2025
"Streamlined appeals procedures with navigation help for consumers could increase the number of appeals and likely lead to at least some denials being overturned. Greater transparency on claims denials and prior authorization would enable consumers and employers to make more informed purchasing choices and give regulators tools to target investigations and enforcement. These steps would improve access to care and lower out-of-pocket costs[.]"
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| 3. |
Household Health Care Payments Under Rate Setting, Spending Growth Target, and Single-Payer Policies
JAMA Health Forum
July 5, 2024
"In this cross-sectional microsimulation analysis, single-payer health care financed by income and payroll taxes made mean payments more progressive, decreasing from 27% to 15% of compensation for the lowest-income households and increasing from 27% to 31% for the highest-income households. Modest rate setting benefitted lower-income households due to slightly improved access, while spending growth targets reduced payments slightly for all households."
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| 4. |
Larry Levitt in JAMA Health Forum
Aug. 25, 2022
"[As] momentous as this legislation is, it goes only so far. Negotiation of drug prices in Medicare will apply initially to a limited number of drugs ... Plus, negotiation does not take effect until well after a drug receives approval from the [FDA] (9 years for small-molecule drugs and 13 years for biological products). Also ... negotiated drug prices will not apply to private insurance plans outside Medicare."
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| 5. |
JAMA Health Forum
Feb. 9, 2022
"[M]ost respondents were willing to use video visits in the future but, when presented with the choice between an in-person or a video visit for nonemergency care, most preferred in-person care. Willingness to pay for preferred visit modality was higher for those who preferred in-person care, and those who preferred video visits were more sensitive to out-of-pocket cost."
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| 6. |
JAMA Health Forum
Aug. 27, 2024
"In the US, CVS announced plans to close 900 stores in the next 3 years, and Rite Aid filed for bankruptcy. As pharmacies close, more and more individuals are left without easy access to medications, with disproportionate consequences for certain communities. Patients in higher SVI counties with a lower PCP density had a 30% to 40% higher likelihood to reside in regions with pharmacy deserts. These findings highlight how disparities compound to create barriers to access basic health care."
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| 7. |
JAMA Health Forum
Dec. 26, 2023
"Private equity acquisition was associated with increased hospital-acquired adverse events, including falls and central line-associated bloodstream infections, along with a larger but less statistically precise increase in surgical site infections.... These findings heighten concerns about the implications of private equity on health care delivery."
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| 8. |
U.S. Centers for Disease Control and Prevention [CDC] in JAMA Health Forum
Jan. 24, 2023
"In this economic evaluation of 162 million non-Medicare eligible enrollees with employer-sponsored health insurance in 2018, 2.3 million had an SUD diagnosis. The annual attributable medical expenditure was $15 640 per affected enrollee and $35.3 billion in the population; alcohol-related disorders ($10.2 billion) and opioid-related disorders ($7.3 billion) were the most costly."
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| 9. |
JAMA Health Forum
Jan. 20, 2022
"The main controversy over surprise billing legislation was never over the surprise bills themselves. Rather, the controversy was over determining how much insurers should pay for out-of-network care once patients are held harmless.... [It] is likely that the ban on surprise billing will in fact tilt the scale of market power away from physicians and hospitals and toward the payers of health care."
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| 10. |
JAMA Health Forum
Aug. 28, 2024
"[T]he Oregon All Payer All Claims database, the cap was associated with a 9.5% reduction in out-of-pocket spending per procedure and a 4.8% increase in the number of outpatient procedures received per enrollee per year."
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