Privately insured see 37% increase in out-of-pocket costs for hospital visits

A University of Michigan study found out-of-pocket costs for hospital visits for privately insured individuals increased 37 percent from 2009 to 2013, Bloomberg reported.

The study was published in JAMA Internal Medicine and included data from 50 million Americans between the ages of 18 and 64 with insurance plans through Aetna, Humana and UnitedHealthcare. Roughly 98 percent of individuals studied purchased employer-sponsored health plans.

The study found while employers used high-deductible health plans to lower premium costs, their employees’ out-of-pocket costs rose an average 6.5 percent annually, as overall health spending rose 2.9 percent annually.

Overall, out-of-pocket rates grew at a faster rate than the 5.1 percent increase in premium costs shouldered by employers.

Out-of-pocket payments include copayments, deductibles and coinsurance. Throughout the five years of the study, the average out-of-pocket cost for hospitalization was $1,000, Bloomberg reported. Deductibles rose 86 percent and coinsurance increased 33 percent, while copayments and the number of plans charging them decreased.

Individuals with “consumer-directed” plans, or high-deductible coverage paired with personal savings accounts, saw an average out-of-pocket cost of $1,200, which was $600 less than individuals with private plans, Bloomberg reported.

From Becker’s Hospital Review

By |June 30th, 2016|Health Reform, Industry News|Comments Off on Privately insured see 37% increase in out-of-pocket costs for hospital visits

Pulse Newsletter available

The latest issue of ACA International’s Pulse newsletter is now available. View the July issue of Pulse on the Healthcare Collections section of ACA’s website. This month’s newsletter features articles about the status of ICD-10, hospital loan programs for patients and more.

By |June 28th, 2016|Health Reform, Industry News|Comments Off on Pulse Newsletter available

Ohio Medicaid: 1634 Disability Transition to SSI Delayed to August 1, 2016

RevCare has widely reported on Ohio’s Disability transition to a 1634 State. (Click to view our White Paper on the topic.)

Ohio Medicaid will convert all current Medicaid ABD beneficiaries from CRIS-E (the old 209(b) eligibility system) to Ohio Benefits (the new 1634 eligibility system).

In total, 401,709 individuals will convert to full Medicaid coverage without spend down on August 1, 2016.  The new 1634 eligibility criteria will apply to each individual converted on August 1, 2016 during his or her next regularly scheduled eligibility renewal.

Ohio Medicaid has requested a waiver of ABD renewals through December 31, 2016 to ensure that any beneficiary who might be impacted by redesign has time to transition to other sources of coverage. For example, some will need to establish a Qualified Income Trust or enroll in the SRS Program to retain Medicaid. ABD eligibility renewals will resume January 1, 2017 and, from that date forward, 1634 criteria will apply to any individual seeking to renew coverage.

Anyone seeking Medicaid ABD for the first time will be subject to the 1634 eligibility criteria beginning August 1, 2016.
Below is an updated timeline from ODM:
June 2016

Ohio Medicaid trains county department of job and family services staff on disability […]

By |June 24th, 2016|Health Reform, Medicare/Medicaid, Ohio Medicaid 1634 Conversion|Comments Off on Ohio Medicaid: 1634 Disability Transition to SSI Delayed to August 1, 2016

 

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