An examination of surprise medical bills and proposals to protect consumers from them
The term “surprise medical bill” describes charges arising when an insured person inadvertently receives care from an out-of-network provider. Surprise medical bills can arise in an emergency when the patient has no ability to select the emergency room, treating physicians, or ambulance providers. Surprise bills can also arise when a patient receives planned care. For […]
What are recent trends and characteristics of workers with high drug spending?

What are recent trends and characteristics of workers with high drug spending?

Prescription drug spending grew rapidly between 2014 and 2015, but increases have been more modest recently. Several studies by the federal government, pharmacy benefit managers, and insurers point to high prices for new “specialty” drugs as driving the spike, in …

An analysis of out-of-network claims in large employer health plans

An analysis of out-of-network claims in large employer health plans

Being unable to afford health care when it is needed is one of the major worries of families, even those with insurance.  Overall cost sharing (i.e., deductibles, copayments, and coinsurance) has been increasing in employer plans, and enrollees who use …

A look at how the opioid crisis has affected people with employer coverage

A look at how the opioid crisis has affected people with employer coverage

With deaths from opioid overdose rising steeply in recent years, and a large segment of the population reporting knowing someone who has been addicted to prescription painkillers, the breadth of the opioid crisis should come as no surprise, affecting people …

What do we know about social determinants of health in the U.S. and comparable countries?

What do we know about social determinants of health in the U.S. and comparable countries?

This collection of charts explores international comparisons of social, environmental, and economic factors that influence health but are in some respects outside the control of the health system. Relative to similarly wealthy countries, the U.S. has worse life expectancy, mortality, …

What do we know about people with high out-of-pocket spending?

What do we know about people with high out-of-pocket spending?

This chart collection explores the distribution of out-of-pocket spending among people with large employer coverage using the Truven Health Analytics MarketScan Commercial Claims and Encounters Database. We examine trends in out-of-pocket spending by people with employer coverage from 2005 to …