Tag Archives: costs

In 2020, employers’ benefit plans will promote more virtual care and focus on high-cost claims

Joseph Burns

About Joseph Burns

Joseph Burns (@jburns18), a Massachusetts-based independent journalist, is AHCJ’s topic leader on health insurance. He welcomes questions and suggestions on insurance resources and tip sheets at joseph@healthjournalism.org.

Companies that pay for employer-sponsored health insurance are continually seeking ways to cut health care costs and improve the care delivered to employees, their family members and retirees.

To accomplish these goals in 2020, employers will implement more virtual care, such as telemedicine, and will focus more on high-cost claims, according to a report from National Business Group on Health (NBGH). Continue reading

Globe Spotlight journalist reports on the link between economic inequality and financial toxicity in health care

Joseph Burns

About Joseph Burns

Joseph Burns (@jburns18), a Massachusetts-based independent journalist, is AHCJ’s topic leader on health insurance. He welcomes questions and suggestions on insurance resources and tip sheets at joseph@healthjournalism.org.

health-money

Image by Colin Dunn via Flickr

Two of the biggest issues the Democratic candidates are addressing in the presidential race are economic inequality and the need to reform the health insurance system.

In 2016, Liz Kowalczyk, a health care and medical writer for The Boston Globe, rotated onto the paper’s Spotlight team for a project about race to document segregation in the city’s health care system. Soon after beginning that assignment she found an almost ideal source for one of her first articles, a nursing home worker who was diagnosed with stage three breast cancer. Continue reading

New data updates the economic value of family caregiving

Liz Seegert

About Liz Seegert

Liz Seegert (@lseegert), is AHCJ’s topic editor on aging. Her work has appeared in NextAvenue.com, Journal of Active Aging, Cancer Today, Kaiser Health News, the Connecticut Health I-Team and other outlets. She is a senior fellow at the Center for Health Policy and Media Engagement at George Washington University and co-produces the HealthCetera podcast.

Photo: Betty Tsang via Flickr

About 41 million unpaid family caregivers provided an estimated 34 billion hours of care — worth $470 billion — to their parents, spouses, partners, and friends in 2017, according to a new report from AARP’s Public Policy Institute (PPI). The report explores the growing scope and complexity of caregiving today, which includes an aging population, more family caregivers also in the paid workforce and an increasing amount of medical and nursing tasks now provided at home.

Ensuring better recognition of and support for family caregivers has become a health, economic, and social imperative, according to the report. Several co-authors discussed the analysis at a Nov. 14 press conference during the Gerontological Society of America annual meeting in Austin, Texas. Continue reading

As employers attempt to contain health insurance costs, workers and families struggle too

Joseph Burns

About Joseph Burns

Joseph Burns (@jburns18), a Massachusetts-based independent journalist, is AHCJ’s topic leader on health insurance. He welcomes questions and suggestions on insurance resources and tip sheets at joseph@healthjournalism.org.

Photo: Pictures of Money via Flickr

One of the largest and most important parts of our health care system is the role employers play in providing health insurance coverage for workers, retirees, and family members. U.S. employers cover 55.1% of Americans who have health insurance, according to a report released by the U.S. Census Bureau.

By providing health insurance for more than half of all Americans, employers pay for the biggest share of health coverage in the United States. Continue reading

Report explains the need for a waste-free formulary for pharmacy benefits

Joseph Burns

About Joseph Burns

Joseph Burns (@jburns18), a Massachusetts-based independent journalist, is AHCJ’s topic leader on health insurance. He welcomes questions and suggestions on insurance resources and tip sheets at joseph@healthjournalism.org.

Photo: Marko Javorac via Flickr

A recent study from the Commonwealth Fund and the Pacific Business Group on Health (PBGH) shows that developing a waste-free formulary by cutting the number of high-cost, low-value drugs in employers’ health benefit plans could save employers as much as 24% in pharmacy spending.

Concern about rising prescription drug costs has caused large self-insured employers to develop innovative formularies for the pharmacy benefit plans they provide to employees, their family members and retirees. A formulary is a list of drugs that employers and health plans include in their benefit plans for employees and members. Continue reading

Who gets the value in value-based care?

Joseph Burns

About Joseph Burns

Joseph Burns (@jburns18), a Massachusetts-based independent journalist, is AHCJ’s topic leader on health insurance. He welcomes questions and suggestions on insurance resources and tip sheets at joseph@healthjournalism.org.

Photo: Pictures of Money via Flickr

Last year on this blog, I asked a rhetorical question: Is value-based care a fad? I did not expect to get an answer. But in June I hosted a webcast on this topic and learned that value-based care is not a fad and that what health insurers and health care administrators call value-based care rarely delivers any actual value to patients or consumers.

Instead, when health insurers, physicians, and hospital and health system executives use the term “value-based care,” they most often mean value-based payment. Continue reading