Article
Multidisciplinary Sciences
Liran Einav, Amy Finkelstein
Summary: Health insurance coverage in the United States is uncertain and unstable. Even with the Affordable Care Act (ACA), a significant number of people remain uninsured at some point over a 2-year period. The risk of losing insurance is higher for those with Medicaid or private exchange coverage compared to those with employer-provided coverage. It is important to focus on both the percentage of uninsured individuals at a specific time and the stability and certainty of insurance coverage.
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA
(2023)
Letter
Medicine, General & Internal
Suveen Angraal, Arun George Zachariah, Raaisa Raaisa, Rohan Khera, Praveen Rao, Harlan M. Krumholz, John A. Spertus
Summary: This study investigates online crowdsourced fundraising for US health care costs from 2010 to 2018, examining trends by medical condition and geographic distribution.
Article
Gastroenterology & Hepatology
Grace Chen, Vasantha Pedarla, Kyle D. Null, Susan E. Cazzetta, Qasim Rana Khan, David A. Schwartz
Summary: Perianal fistula (PAF), a complication of Crohn's disease (CD), has a high prevalence in the United States and is associated with increased costs and healthcare resource utilization for patients.
INFLAMMATORY BOWEL DISEASES
(2022)
Article
Public, Environmental & Occupational Health
Yong Yang, Stephen Nicholas, Shuo Li, Zhengwei Huang, Xiaoping Chen, Yong Ma, Xuefeng Shi
Summary: The study found significant city-specific differences in healthcare utilization and medical costs for stroke patients, highlighting inequalities in healthcare access. It suggests the need to consolidate fragmented social health insurance schemes in China to provide equal financial protection and improve equity in access to healthcare for stroke patients.
Article
Clinical Neurology
Cathy Y. Yu, Timothy Blaine, Peter D. Panagos, Akash P. Kansagra
Summary: This study highlighted the demographic disparities in proximity to certified stroke care, with greater disparities observed in nonurban areas compared to urban areas. Higher proportions of elderly, American Indian, uninsured, or low-income populations in nonurban census tracts were found to be more distant from certified stroke care facilities.
Article
Pharmacology & Pharmacy
Zihua Ma, Gongman Deng, Zhaolin Meng, Huazhang Wu
Summary: This study comprehensively assessed the hospital and out-of-pocket costs associated with stroke in Northeast China. Results showed that stroke imposes a heavy financial burden on both patients and society, with differences in economic burden among different types of stroke. Targeted intervention measures and specific policies are needed to reduce the economic burden of stroke and improve equity in healthcare among different social groups.
FRONTIERS IN PHARMACOLOGY
(2021)
Article
Orthopedics
Marie Schild, Ulrike Mueller, Ursula von Schenck, Sigurd Prieur, Robert Miller
Summary: A retrospective cohort analysis of German OA patients revealed that those with chronic pain have higher healthcare resource utilization and costs. Better prevention and treatment of OA are needed to reduce the disease burden experienced by patients.
BMC MUSCULOSKELETAL DISORDERS
(2021)
Article
Oncology
Jingxuan Zhao, Xuesong Han, Leticia Nogueira, Stacey A. Fedewa, Ahmedin Jemal, Michael T. Halpern, K. Robin Yabroff
Summary: Previous studies have shown that uninsured patients in the United States are more likely to be diagnosed with late-stage cancer and have worse survival rates. This report provides comprehensive data on the association between health insurance coverage type and stage at diagnosis and long-term survival in individuals diagnosed with common cancers between 2010 and 2013.
CA-A CANCER JOURNAL FOR CLINICIANS
(2022)
Article
Economics
Coleman Drake, Conor Ryan, Bryan Dowd
Summary: Consumers in private health insurance markets exhibit high levels of inertia, primarily due to inattention and hassle costs. Eliminating these factors can significantly reduce repeated health plan choice and improve welfare. Inattention contributes the most to the potential loss of consumer surplus. Therefore, interventions to reduce inertia should focus on reducing inattention and hassle costs.
JOURNAL OF PUBLIC ECONOMICS
(2022)
Article
Health Care Sciences & Services
Ge Bai, Angela Park, Yang Wang, Heidi N. Overton, William E. Bruhn, Martin A. Makary
Summary: Insurance agents and brokers play a vital role in facilitating health insurance and pharmacy benefit plans for U.S. employers. The commission charged by plans is positively associated with the plan's premium, especially in smaller plans and those offered by nonmajor insurance companies. Policy makers should focus on improving transparency of commissions to help employers make more efficient contracting and purchasing decisions. The fee-based brokerage model can help control healthcare spending for employers and workers.
MEDICAL CARE RESEARCH AND REVIEW
(2022)
Article
Cardiac & Cardiovascular Systems
Kamil F. Faridi, Elias J. Dayoub, Joseph S. Ross, Sanket S. Dhruva, Tariq Ahmad, Nihar R. Desai
Summary: This study examines the Medicare coverage and out-of-pocket costs of quadruple therapy and regimens excluding ARNI or SGLT2i. The findings suggest that Medicare drug plans restrict the coverage of quadruple therapy through cost sharing, leading to substantially higher out-of-pocket costs compared to generic regimens.
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY
(2022)
Article
Cardiac & Cardiovascular Systems
Kamil F. Faridi, Elias J. Dayoub, Joseph S. Ross, Sanket S. Dhruva, Tariq Ahmad, Nihar R. Desai
Summary: This study investigated the Medicare coverage and out-of-pocket costs of quadruple therapy for patients with heart failure. The findings showed that Medicare drug plans restrict coverage of quadruple therapy through cost sharing, making it unaffordable for many patients unless medication prices and cost sharing are reduced.
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY
(2022)
Article
Health Care Sciences & Services
Teng Ma, Bao Guo, Ju Xu
Summary: This article compares China's healthcare insurance system and fiscal subsidy policies, analyzes the advantages and drawbacks of the healthcare system through specific cases, emphasizing the persistence and change in healthcare insurance reform.
RISK MANAGEMENT AND HEALTHCARE POLICY
(2022)
Article
Public, Environmental & Occupational Health
Joohyun Park, Heesoo Joo, Brian A. Maskery, Jonathan D. Alpern, Michelle Weinberg, William M. Stauffer
Summary: We estimated the costs of inpatient and outpatient malaria treatment in the United States. The average cost per hospitalized patient was significantly higher compared to non-hospitalized patients (e.g. $27642 vs. $1177 among patients with private insurance). Patients with severe malaria incurred 2-4 times higher costs than those with uncomplicated malaria.
JOURNAL OF TRAVEL MEDICINE
(2023)
Article
Medicine, General & Internal
Haider J. Warraich, Pankaj Kumar, Khurram Nasir, Karen E. Joynt Maddox, Rishi K. Wadhera
Summary: The study found that from 2001 to 2019, the age adjusted mortality rate per 100,000 population decreased by 22% in Democratic counties, compared to only 11% in Republican counties. Residents of Democratic counties experienced lower mortality rates and a greater relative decrease in mortality compared to those in Republican counties.
BMJ-BRITISH MEDICAL JOURNAL
(2022)