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Tag: Insurance: Misc.

There is considerable variation in specialty drug coverage across commercial health plans

Variation in Specialty Drug Coverage Across Health Plans

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Plans restrict coverage of drugs indicated for cancer less often than drugs indicated for other diseases
There are large coverage gaps in short-term health plans that were approved Wednesday by the Trump administration

New Short-Term Health Plans Have Large Coverage Gaps

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Plans don't have to cover existing medical conditions, provide limited benefits
Interruptions in private health insurance coverage are common among U.S. adults with type 1 diabetes and are associated with an increase in glycated hemoglobin and in use of acute care services

Health Coverage Interruptions Common in Adults With T1DM

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Use of acute care service five-fold higher after interruption in insurance versus before interruption
Insurance companies sometimes underpay doctors the contracted amount for a service or procedure

Insurers May Be Underpaying Doctors

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Practices need to incorporate efforts to double check reimbursement against contracts
Insurers are increasingly denying prescriptions of direct-acting antiviral drugs for hepatitis C virus treatment

One-Third of Hep C Rx Receive Absolute Denial From Insurers

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Both private and public insurers continue to deny coverage for drugs at high rates
Reducing public insurance (Medicaid and the Children's Health Insurance Program) income eligibility limits would result in large numbers of newly ineligible pediatric hospitalizations

Cutting Insurance Eligibility Ups Peds Hospitalization Cost Burden

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Reducing public insurance eligibility limits would raise numbers of ineligible pediatric hospitalizations
There are opportunities for recalibrating the role of opioids in pain care

Coverage Policies Compared for Back Pain Medications

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Utilization management common for opioids; often relies on 30-day limits rather than prior authorization
The prevalence of being uninsured varies by occupational groups

CDC: Prevalence of No Insurance Varies by Occupational Groups

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Significant drop in prevalence of uninsured from 2013 to 2014; variation by occupation in both years
Overall

CDC: No Change in Level of Uninsured in U.S. in 2017

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Five percent of children uninsured in 2017, 41.3 and 55.0 percent had public and private coverage
Compared to patients with private insurance

Colon Cancer Survival Varies by Insurance Type

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Patients with Medicaid or no insurance have lower survival versus those with private coverage