Jessica Boswell, RHIA, PESC’s Post

Health Payer Intelligence comments on how surprise billing is pretty common, yet members rarely challenge it due to a lack of health literacy. This is a huge issue in the health insurance world that companies need to prioritize. Members' education is vital to ensuring they receive high-quality care without delay. Spreading awareness about these trends in health insurance is another way to increase member knowledge to avoid people paying higher bills, getting claims denied, and having a delay in care. #HealthInsurance #Medicaid #SurpriseBilling

Nearly a quarter of adults disenrolled from Medicaid in the past year are now uninsured. The struggle to retain coverage in the government insurance program for low-income people is concerning and reveals a concerning trend as pandemic-era protections expire. According to a recent survey by KFF, nearly half of those who lost coverage signed back up later, suggesting they should never have been dropped in the first place. Learn more about the healthcare coverage gap here! #atwhealth #ppiconline #healthequity #qualityimprovement #healthcaretransformation #patientengagement

Nearly a quarter of adults disenrolled from Medicaid in the past year are now uninsured. The struggle to retain coverage in the government insurance program for low-income people is concerning and reveals a concerning trend as pandemic-era protections expire. According to a recent survey by KFF, nearly half of those who lost coverage signed back up later, suggesting they should never have been dropped in the first place. Learn more about the healthcare coverage gap here! #atwhealth #ppiconline #healthequity #qualityimprovement #healthcaretransformation #patientengagement

Health spending reached an astounding $4.8 trillion last year, estimates the Centers for Medicaid and Medicare Services (CMS), driven largely by the record number of Americans with healthcare insurance. “During the coronavirus pandemic, lawmakers and regulators in Washington poured taxpayer dollars into policies that increased the number of Americans with insurance coverage, driving the U.S. insured rate to a historic high of 93.1% last year,” writes Healthcare Dive, “People used more healthcare as a result, boosting national health spending.” According to the report from CMS, as spending and healthcare enrollment effects associated with the pandemic retreat, we will see a return to long-term trends: “Health spending and enrollment patterns are expected to resemble their longer-term trends more closely and to be driven to a greater extent by traditional economic and demographic factors.” Be sure to read the full report at: https://lnkd.in/gtB85hJt #HealthcareCosts #CMS #HealthInsurance

New study from the Assistant Secretary for Planning and Evaluation - HHS published today. According to the study, approximately 1.3 million children with health insurance coverage through #Medicaid or #CHIP, the Children's Health Insurance Program, will benefit from new continuous eligibility requirements. Temporary changes in household income or composition can disrupt a child's health insurance through #Medicaid or #CHIP and thus their access to healthcare. According to the data released today, as many as 10% of households with children experience a substantial (i.e., > 50%) drop in household income during the plan year, disproportionately affecting lower-income households. What is even more troublesome, as many as 25% of the impacted households experienced in INCREASE in household income shortly before the drop, which may temporarily push them over the income eligibility threshold for #Medicaid or #CHIP. Extending continuous program eligibility to 12 months across all states will reduce the administrative burden for families AND state Medicaid offices, and minimize the risk that short-term fluctuations in living conditions unnecessarily disrupt a child's access to care.

(FISCAL TIMES) - "Nearly 1 in 4 of Those Removed From Medicaid Now Uninsured." Millions of Americans have been removed from state-level Medicaid programs over the last year, following the official end of the Covid-19 pandemic and the return to pre-pandemic rules governing access to the system. Request A Health Or DENTAL Insurance Quote On The Plans Being Offered Within Your State When You Go To: HI4E.Org 1(800) 793-0471 #MedicaidCoverage #AffordableHealthInsurance #HI4E.Org #ObamacareTaxSubsidies #AffordableCareAct #HealthInsurance4Everyone #MedicaidTaxes #FilingTaxes #2023TaxReturnPenalties #TaxPenalties #HealthAndLifeSolutionsLLC #MissedOpenEnrollment #OpenEnrollmentEnded #ObamacareTaxSubsidyPenalties #ObamacareSubsidies #ObamacareTaxes #TaxReturnPenalties #MedicaidEnding #MedicaidCuts #FiscalTimes #MedicaidFundingCutbacks #MedicaidEnrollment #MedicaidEligibility #CovidFundingEnded #CovidFundsClawedBack #MedicaidRecipients https://lnkd.in/gAPfn64V

Most People Dropped in Medicaid ‘Unwinding’ Never Tried to Renew Coverage, Utah Finds A survey found that over half of the people who lost Medicaid coverage in Utah did not attempt to renew it, often due to difficulties with paperwork requirements. Visit the link below to learn more. https://lnkd.in/g9WM6_7e #Medicaid #healthcare #insurance #coverage #healthpolicy #Utah #disenrollment #proceduralissues #healthnews

A recent survey by the Commonwealth Fund reveals that nearly half of insured, working-age adults in the U.S. report receiving a medical bill or copayment for services they anticipated would be covered by their insurance. Nearly 20% of insured adults reported unfair denial of coverage for doctor-recommended services - and less than half of those affected challenge these denials because they don’t realize it is an option. Challenging health insurers can help. Among those who did challenge their denied claims, 50% succeeded in getting their services approved. For those disputing medical bills, over one-third saw their balances reduced or eliminated. (This success rate is even higher for Medicare and Medicaid recipients.) Denied claims often lead to delays in care and worsened health conditions - there's a great need for stronger consumer protections and increased awareness about the right to appeal. As some insurers report record profits, it's essential to hold them accountable and ensure they meet their obligations to policyholders. https://lnkd.in/epzQHEAz

“Insurers are quietly plundering the Medicare trust fund for their own profits and compromising the health of senior citizens and [people with] disabilities,” "Medicare Advantage is just another example of the endless greed of the insurance industry poisoning American health care, siphoning money from vulnerable patients while delaying and denying necessary and often life-saving treatment." https://lnkd.in/gWN9xeVU #VALUEBASEDCARE #HEALTHINSURANCE #medicare #HOSPITALS

𝐌𝐞𝐝𝐢𝐜𝐚𝐫𝐞 𝐢𝐬 𝐚 𝐟𝐞𝐝𝐞𝐫𝐚𝐥 𝐬𝐨𝐜𝐢𝐚𝐥 𝐢𝐧𝐬𝐮𝐫𝐚𝐧𝐜𝐞 𝐩𝐫𝐨𝐠𝐫𝐚𝐦 𝐚𝐧𝐝 𝐰𝐚𝐬 𝐢𝐧𝐭𝐫𝐨𝐝𝐮𝐜𝐞𝐝 𝐢𝐧 𝟭𝟵𝟲𝟱. 𝐈𝐭 𝐚𝐢𝐦𝐬 𝐭𝐨 𝐩𝐫𝐨𝐯𝐢𝐝𝐞 𝐡𝐞𝐚𝐥𝐭𝐡 𝐢𝐧𝐬𝐮𝐫𝐚𝐧𝐜𝐞 𝐭𝐨 𝐨𝐥𝐝𝐞𝐫 𝐚𝐧𝐝 𝐝𝐢𝐬𝐚𝐛𝐥𝐞𝐝 𝐩𝐞𝐨𝐩𝐥𝐞. o  𝐄𝐧𝐫𝐨𝐥𝐥𝐦𝐞𝐧𝐭: As of 2023, approximately 64 million Americans are enrolled in Medicare, representing about 18% of the U.S. population. o  𝐃𝐞𝐦𝐨𝐠𝐫𝐚𝐩𝐡𝐢𝐜𝐬: The majority of Medicare beneficiaries are aged 65 and older, but there are also younger individuals with disabilities who qualify. o  𝐂𝐨𝐯𝐞𝐫𝐚𝐠𝐞: Medicare is divided into several parts: ·       𝐏𝐚𝐫𝐭 𝐀: Hospital insurance, covering inpatient stays, skilled nursing, hospice, and some home health care. ·       𝐏𝐚𝐫𝐭 𝐁: Medical insurance, covering outpatient care, doctor visits, and preventive services. ·       𝐏𝐚𝐫𝐭 𝐂: Medicare Advantage plans, which are private plans that offer Medicare benefits. ·       𝐏𝐚𝐫𝐭 𝐃: Prescription drug coverage. o  𝐂𝐨𝐬𝐭𝐬: In 2023, the standard monthly premium for Part B is approximately $164.90, though higher earners pay more. o  𝐒𝐩𝐞𝐧𝐝𝐢𝐧𝐠: Medicare spending was projected to be over $900 billion in 2023, with a significant portion going to hospital care and physician services. #insurance #usa #medicare #healthcare