Category: Private Insurance

How Have Costs Associated With Obesity Changed Over Time?

This analysis finds that, among people with large employer health plans, those with an obesity diagnosis on average have higher total and out-of-pocket spending than those without an obesity diagnosis. It also examines the cost of common surgical and p…

Outpatient Visits Are Growing More Complex: Implications for Health Costs

This analysis for the Peterson-KFF Health System Tracker uses claims data from private, large employer-based plan to examine trends in complexity coding across outpatient practice settings from 2004 to 2021. It finds a trend toward higher complexity co…

The End of the COVID-19 Public Health Emergency: Details on Health Coverage and Access

On Jan. 20, 2023, the Biden Administration announced it will end the public health emergency (and national emergency) declarations on May 11, 2023. This policy watch provides an overview of how health care coverage and access will and won’t change when…

How Does Cost Affect Access to Care?

This slideshow examines how cost and insurance affects people’s access to care, including decisions to forgo or delay needed care and access to a usual source of care.

Readers and Tweeters Diagnose Greed and Chronic Pain Within US Health Care System

KHN gives readers a chance to comment on a recent batch of stories.

Early in the Pandemic, Private Insurers Paid Similarly for Common Telehealth and In-Person Claims

This analysis of 2020 claims data finds that as telehealth use surged as the COVID-19 pandemic hit, the shift toward virtual physician and mental health care did not materially affect how much insurers paid for each patient encounter.

Centene, Under Siege in America, Moved Into Britain’s National Health Service

A nine-minute public hearing gave the U.S. insurance giant a foothold in Britain’s prized National Health Service. One doctor called it “privatization of NHS by stealth.” And critics worry that business efficiencies will degrade the quality of care.

How ACA Marketplace Premiums Are Changing by County in 2023

This analysis details how ACA marketplace premiums are changing from 2022 to 2023, and the impact of subsidies to make them more affordable. Premiums vary based on location and metal level, and t T analysis details how premiums are changing from 2022 t…

Emergency Department Visits Exceed Affordability Threshold for many consumers with private insurance

This analysis uses 2019 insurance claims data from large employer health plans to assess the total and out-of-pocket costs of emergency department visits, overall and by diagnosis and severity level. It also looks at which services contribute most to t…

Cost of COVID-19 Hospital Admissions among People with Private Health Coverage

This analysis examines the cost of COVID-19 treatment for inpatient care among people with health coverage through large employers. It finds that in 2020, COVID-19 hospitalizations cost an average of $41,611, including an average out-of-pocket payment …