Emergency Department Visits Exceed Affordability Threshold For Many Consumers With Private Insurance December 16, 2022 Issue Brief This analysis uses 2019 insurance claims data from large employer health plans to assess the total and out-of-pocket costs of emergency department visits, overall and by diagnosis and severity level. It also looks at which services contribute most to the costs of emergency department visits.
Why Some Employers are Turning to Progressive Health Benefits June 6, 2018 Perspective In this Axios column, Drew Altman examines the status of progressive health benefits (health benefits linked to wage levels) and their pros and cons at a time when employee health costs are rising and wages are flat.
What Do They Mean When They Talk About Pre-Existing Health Conditions? October 19, 2012 Perspective One health care issue about which the presidential candidates acknowledge they have differences is how the health care system should treat people with pre-existing health conditions. People who have a health condition (such as an illness or pregnancy) or who are at higher than average risk of needing health care…
Insurance Coverage of Contraceptives February 21, 2012 Perspective In this post, we answer some of the key questions about the new contraceptive coverage policy generally, and more specifically, how it will be applied to religious organizations.
Betting on Private Insurers January 19, 2012 Perspective Just-released estimates of national health spending in 2010 by the Centers for Medicare and Medicaid Services (CMS) show that 45% of our health care spending is financed by the federal and state governments, primarily through the Medicare and Medicaid programs. This share has grown temporarily in recent years because of the…
Health Insurance Market Reforms: Portability March 6, 2013 Fact Sheet Most Americans have access to health insurance through an employer-sponsored health plan, a fact that has made changing or losing a job a complex issue for the purposes of maintaining health insurance. Moving to a new job can be hard if the employer does not offer health insurance, or if…
A Profile of Health Insurance Exchange Enrollees March 1, 2011 Report The Patient Protection and Affordable Care Act calls for the creation of Health Insurance Exchanges in all states by January 1, 2014. The exchanges are a critical element of the health reform law, aimed at helping individuals and families shop for and purchase health insurance on their own with additional…
The Flip Side of Higher Premiums: Better Coverage March 21, 2013 Perspective Time Magazine’s recent cover story on health care – “Bitter Pill” by Steven Brill – has focused attention on hospital prices, especially for people paying out of their own pockets. This is not a new issue, but certainly one that deserves attention. However, what has been lost in the ensuing…
Testimony: Wellness Programs and Nondiscrimination Under Employer-Sponsored Group Health Plans May 8, 2013 Issue Brief This testimony by the Foundation’s Karen Pollitz before the Equal Employment Opportunity Commission included background on wellness programs, wellness incentives and nondiscrimination since 1996, and questions and issues related to proposed regulations governing the design and application of wellness programs offered in conjunction with employer-sponsored group health plans.
New Animation Explains Changes Coming for Americans Under Obamacare July 18, 2013 News Release A new animated video features the YouToons as they get ready for Obamacare and explore health insurance changes under the Affordable Care Act (ACA). The cartoon serves as a health reform tutorial for consumers and organizations.