Research Paper

Preventing Medical Debt: Recommendations for Insurers

这份报告显示了如何健康insuranc转移e landscape has helped shape the medical debt crisis, identifying specific actions insurers should take now to boost Americans’ confidence in their coverage and motivate them to pursue timely care that reduces the need for costlier services.

Monday, March 28, 2022
Preventing Medical Debt: Recommendations for Insurers

数据聚光灯

91% of Americans
do not understand the meaning of premium, deductible, out-of-pocket maximum, and co-insurance.

62% of U.S. adults younger than 65
who report problems paying a medical bill say that the person who incurred the bill was insured at the time.

保险不足的成年人中有24%
say they don’t visit a doctor when they have a medical issue.

Key Recommendations

With input from members of our Stakeholder Advisory Council, the Financial Health Network developed recommended actions and strategies for insurance providers to help prevent medical debt. Although each recommendation is effective as a stand-alone, insurers can achieve the greatest impact by implementing them all.

    • 帮助成员进行计划选择,并确保成员了解关键的健康保险条款。
    • Proactively inform members of out-of-pocket expectations, and help them navigate lower-cost options through price transparency resources.
    • 通过减少或消除相关的自付费用来激励初级和预防保健服务。
    • Improve claims adjustment and prior authorization processes.

Opportunities to take action for insurers - While many upstream factors contribute to medical debt, this report focuses on interventions that insurers can implement to prevent medical debt and its devastating impacts on financial health and health

Explore the Full Series

Systems-Level Overview

Systems-Level Overview

Explore insights into the prevalence of medical debt and its effect on consumers, how medical debt functions as a social determinant of health and driver of health inequities, and opportunities for key players to prevent it.

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Recommendations for Hospitals and Health Systems

Recommendations for Hospitals and Health Systems

Read about actionable strategies healthcare providers should take now to improve financial assistance and repayment programs, support informed patient decision-making, and proactively identify patients at risk for medical debt to target financial assistance.

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对雇主的建议

对雇主的建议

了解雇主现在应采取的主动步骤来评估员工健康保险负担能力,对他们的劳动力进行有关保险基础和自付费用的教育,帮助工人管理医疗费用,并根据员工的需求和情况提供计划。

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Our Supporter

Support for this report series was provided by the Robert Wood Johnson Foundation. The views expressed here do not necessarily reflect the views of the Foundation.

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写的

  • Michelle Proser
    Senior Director, Healthcare Solutions
    万博电竞怎么玩
  • Uzma Amin
    Manager, Healthcare Solutions
    万博电竞怎么玩

Preventing Medical Debt: Recommendations for Insurers

探索趋势。发现新的见解。建立更强大的策略。