How Much More Than Medicare Do Private Insurers Pay? A Review of the Literature
This brief reviews findings from recent studies that compare Medicare and private health insurance payment rates for both hospital and physician services.
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Recent Studies Show That Medicaid Expansion Has Improved the Financial Performance of Hospitals and Other Providers, In Line With Prior Research
News ReleaseA KFF synthesis of recent studies finds that Medicaid expansion has been beneficial to the finances of hospitals and providers, driving decreases in the share of uninsured patients, increases in Medicaid-covered patients and declines in uncompensated care. By financing coverage for low-income people who are likely to otherwise be uninsured, Medicaid expansion provides potential economic benefits to the health care providers who provide care to that population. Studies suggest that hospitals experienced higher reimbursements and…
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How Has Health Care Utilization Changed Since the Pandemic?
Issue BriefThis chart collection examines the latest available data on how health services utilization has changed over the course of the COVID-19 pandemic.
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‘In Focus with KFF’: What to Know About the New Ban on Surprise Bills
VideoIn this new video, KFF Senior Fellow Karen Pollitz explains why surprise bills have been such a major problem for patients, the new federal ban on the practice, and how patients can get help if they received a surprise bill.
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Outpatient telehealth use soared early in the COVID-19 pandemic but has since receded
Issue BriefTelehealth use skyrocketed during the early months of the pandemic. While it has since decreased somewhat from that high, it still represents a much more substantial share of health care than before COVID, this KFF-Epic Research analysis finds.
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Cost of COVID-19 Hospital Admissions among People with Private Health Coverage
Issue BriefThis analysis examines the cost of COVID-19 treatment for inpatient care among people with health coverage through large employers. It finds that in 2020, COVID-19 hospitalizations cost an average of $41,611, including an average out-of-pocket payment of $1,280 for people with large employer coverage.
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Rural Hospitals Have Fared Worse Financially in States that Haven’t Expanded Medicaid Coverage
News ReleaseRural hospitals fared worse financially in states that have not expanded their Medicaid programs under the Affordable Care Act than in states that expanded Medicaid, a new KFF analysis finds. Nearly one third of all rural hospitals nationally are in the 11 states that have not approved the expansion of their Medicaid programs to cover low-income childless adults, and concerns about their ongoing viability has been an issue in legislative debates about whether to do…
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Outpatient Visits Are Growing More Complex: Implications for Health Costs
Issue BriefThis analysis for the Peterson-KFF Health System Tracker uses claims data from private, large employer-based plan to examine trends in complexity coding across outpatient practice settings from 2004 to 2021. It finds a trend toward higher complexity codes that contributes to higher outpatient spending.
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Strategies in 4 Safety-Net Hospitals to Adapt to the ACA
Issue BriefThis brief examines four safety-net hospitals to learn how they were preparing for the full implementation of the Affordable Care Act (ACA), in order to gain additional insight into the strategies being used and challenges being faced among safety-net hospitals across the country.
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Evolving Picture of Nine Safety-Net Hospitals: Implications of the ACA and Other Strategies
Issue BriefSafety-net hospitals are an integral part of the U.S. health care landscape, providing care to some of the nation’s most medically vulnerable populations, including Medicaid enrollees and the uninsured. With the implementation of the Affordable Care Act (ACA), the U.S. health care system is rapidly changing, and safety-net hospitals need to make major adjustments to survive in the post-reform environment. This brief draws on interviews with executives at nine safety-net hospital systems and examines how…