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Tag: Insurance: Misc.

The burden of prior authorization has increased over the past five years

Recent Years Saw Increase in Burden of Prior Authorization

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Ninety-two percent of physicians report PA-associated delays in patient access to care
Nearly half of small employers using tobacco surcharges do not provide tobacco cessation wellness programs

Small Employers Often Don’t Provide Tobacco Cessation Help

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Yet, many of these small employers charge tobacco users up to 50% more for health insurance premiums
Drug copayments frequently exceed prescription drug costs

Drug Copayments Often Exceed Prescription Drug Costs

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Overpayments affect 23 percent of all prescriptions; more common with generic drugs
The percentage of uninsured U.S. persons of all ages did not change significantly from 2016 to the first nine months of 2017

CDC: No Change in Percentage of Uninsured in U.S. From ’16 to ’17

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Increase in percentage of those aged younger than 65 years enrolled in high-deductible health plan
Overall

Health Care Use Down in Diabetes Patients With High Deductibles

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But those from low-income areas have increase in high-severity hospitalization days after HDHP switch
Provider collaboration with local specialty pharmacies is associated with reduced delays in therapy and lower rates of direct-acting antiviral denial for patients with hepatitis C

Pharmacies Can Up Access to Direct-Acting Antivirals for Hep C

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Collaboration with local specialty pharmacy linked to reduced delays in therapy, lower rates of denial
CVS Health's planned purchase of insurance giant Aetna

CVS-Aetna Merger Has Implications for Doctors’ Offices

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More health services will likely move out of doctors' offices to store-based providers
From 1997 to 2014

Differences in Cancer Survival by Type of Insurance

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Survival up in patients with private insurance, Medicare; no change or drop with other, no insurance
Insurance coverage differences account for about half of the disparity in survival rates between black and white patients aged 18 to 64 years with colorectal cancer

Insurance Underlies Black-White Survival Disparity in CRC

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54 percent of excess risk of death in black colorectal cancer patients accounted for by insurance matching
A combination of clinical factors and payer type increase the likelihood of approval for proprotein convertase subtilisin/kexin type 9 inhibitor treatment

Rate of Approval for PCSK9i Therapy 47 Percent

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Clinical factors and payer type linked to likelihood of approval, with highest approval for Medicare