Tag Archives: insurance

3 reasons it’s significant that the percentage of uninsured Americans hit an all-time low

Source: National Center for Health Statistics, National Health Interview Survey, 2021–2022. Cohen RA and Cha AE. Health insurance coverage: Early release of quarterly estimates from the National Health Interview Survey, January 2021–March 2022. National Center for Health Statistics. July 2022.

The percentage of Americans who lack health insurance hit an all-time low of 8% in the first quarter of this year, reflecting an increase of 5.2 million people who gained coverage since 2020, according to a report by the federal Department of Health and Human Services (HHS) released on Tuesday. 

Using data from the National Health Interview Survey and the American Community Survey, the report from the HHS Assistant Secretary for Planning and Education (ASPE) shows the effect of better subsidies for health insurance that consumers buy on the Affordable Care Act’s marketplaces, increased federal efforts to encourage the uninsured to enroll, the continuous enrollment provisions in the federal-and-state Medicaid program and recent decisions in several states to increase enrollment in Medicaid, HHS said in a press release

Since 2019, seven states have expanded enrollment in the federal-and-state funded Medicaid program, according to Louise Norris at HealthInsurance.org. Those states are: Virginia and Maine in 2019; Utah, Idaho, and Nebraska in 2020; and Oklahoma and Missouri last year, she wrote.

The HHS announcement is significant for three reasons. First, the all-time low 8% rate means that about 26.4 million people lack health insurance, down from 48 million in 2010, according to an ASPE report last year. Second, the report includes a table showing changes in the uninsured rates in each state for low-income adults ages 18 to 64 from 2018 to 2020. In 18 states (15 of which expanded Medicaid), the uninsured rates for this population dropped in those years.

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SCOTUS ruling allows states to regulate what PBMs pay pharmacists

Photo by dbking via Flickr

States seeking to regulate pharmacy benefit managers (PBMs) won an important victory on Thursday when the U.S. Supreme Court ruled 8-0, rejecting a challenge to a law the state of Arkansas passed in 2015 to put restrictions on PBMs. The ruling could allow states to regulate PBMs, as Darrel Rowland reported for The Columbus Dispatch.

Rowland is a member of an award-winning team of reporters and editors at the Dispatch who have covered PBMs in Ohio and elsewhere since January 2018, as we reported on this blog.

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Webcast to explore the high cost of failing to cover the uninsured during pandemic

Clinical lab scientist Nancy Leonard prepares samples to be tested for COVID-19. She wears a face shield and gloves for protection because she is handling material that may contain the virus and will transfer patient samples into smaller tubes for testing.

Photo: Sarah Pack, Medical University of South Carolina

Leaving anyone uninsured during this viral pandemic increases the risk of spreading the disease.  A warning report on Monday from the Urban Institute projects that an estimated 25 million to 43 million Americans may lose their employer-sponsored health insurance coverage in the coming months due to the economic effects of the new coronavirus.

In “How the COVID-19 Recession Could Affect Health Insurance Coverage,” UI senior fellow Bowen Garrett and research associate Anuj Gangopadhyaya base their estimate on the possibility that the unemployment rate could reach as high as 20%. The report was produced with support from the Robert Wood Johnson Foundation. Continue reading

Scrutiny of hospital charges likely to intensify in wake of pandemic

hospital-roomAs the nation’s hospitals strain to keep up with the demand to care for COVID-19 patients, it seems almost unfair to ask how much all of this treatment will cost. Still, we know that the costs will be high, both for the care itself and for what health insurers, employers and consumers will end up paying.

In a recent report, the health insurance marketplace Covered California projected that the one-year costs of testing and treatment related to COVID-19 could range from $34 billion to $251 billion. These new costs could cause health insurance premiums for individuals and employers to rise by 40% or more next year in the absence of federal action, the report said, adding that insurance premiums would increase because insurers would want to recoup any losses from the pandemic this year and plan for any future losses they might incur next year. Continue reading

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

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