- Center on Health Equity & Access
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- Health Care Cost
- Health Care Delivery
- Insurance
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- Value-Based Care
Financial Crisis: A High Price to Pay for New Treatment Options
Peter Salgo, MD, and Bryan Loy, MD, examine the financial impact of new treatment options in medical oncology. Dr Salgo notes that due to cost sharing, premiums and deductibles continue to increase, and treatment costs place a heavy burden on patients.
Dr Loy remarks that the nation is already in a financial crisis, and discusses why price sensitivity discussions need to occur sooner rather than later. He explains that while policy changes can assist in the introductory stages of new innovations and in the design of future clinical trials, there are instances when patients do not have the financial resources available to fund the treatment recommended for them. Also, patients who are insured may experience financial difficulties related to deductible requirements or out-of-pocket expenses that force them to consider discontinuing treatment.
Discussions on how to handle the financial burden of a catastrophic illness should not take place only when patients have exhausted their resources, but rather as early as possible, adds Dr Loy.
New Research Challenges Assumptions About Hospital-Physician Integration, Medicare Patient Mix
April 22nd 2025On this episode of Managed Care Cast, Brady Post, PhD, lead author of a study published in the April 2025 issue of The American Journal of Managed Care®, challenges the claim that hospital-employed physicians serve a more complex patient mix.
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Varied Access: The Pharmacogenetic Testing Coverage Divide
February 18th 2025On this episode of Managed Care Cast, we speak with the author of a study published in the February 2025 issue of The American Journal of Managed Care® to uncover significant differences in coverage decisions for pharmacogenetic tests across major US health insurers.
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What's at Stake as Oral Arguments Are Presented in the Braidwood Case? Q&A With Richard Hughes IV
April 21st 2025Richard Hughes IV, JD, MPH, spoke about the upcoming oral arguments to be presented to the Supreme Court regarding the Braidwood case, which would determine how preventive services are guaranteed insurance coverage.
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