Who pays more for hospital and physician services: commercial payers, Medicare or Medicaid? And how much more?

Many people might know that generally the answer is commercial health plans have the most generous reimbursement compared to government plans. However, a key question is how much more do they pay? Commercial vs. Medicare rates A January 2022 report by the Congressional Budget Office finds that commercial payers reimburse hospitals at 223% of Medicare…

No surprise bills?

In a February 10th speech, President Biden wanted to end surprise bills for patients. Specifically he said: No more surprise billing.  No more. In fact, he proposed the No Surprises Act. Key questions you may have include: what is a surprise bill? are there any exceptions to this rule? Kaiser Health News has a nice…

Health insurance churn among patients with schizophrenia

For any patients–but especially those with neurodevelopmental illnesses such as schizophrenia–have a consistent ‘medical home’ is vital for continuity of care. However, having consistent access to provider who know your medical history may be challenging if you frequently switch health insurance. “Insurance churn” is defined a patients who either transition between health plans or transition…