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This cost-spreading mechanism often picks up much of the cost of health care, but individuals must often pay up-front a minimum part of the total cost (a deductible), or a small part of the cost of every procedure (a copayment). Private insurance accounts for 35% of total health spending in the United States, by far the largest share among OECD ...
A 2014 study published from Australia shows that the out-of-pocket cost burden falls most heavily on patients who are least able to bear it, both in terms of their health and in terms of their income. Among the respondents 14% experienced a heavy financial burden. Medication and medical service expenses were the major costs.
Lack of insurance or higher cost sharing (user fees for the patient with insurance) create barriers to accessing healthcare: use of care declines with increasing patient cost-sharing obligation. [51] Before the ACA passed in 2014, 39% of below-average income Americans reported forgoing seeing a doctor for a medical issue (whereas 7% of low ...
Pediatric cancer is a diagnosis no one ever wants to receive, and it's increasingly coming with a price tag very few can afford to pay. "That's just it; the price tag is enormous," said Kate ...
Healthcare rationing in the United States exists in various forms. Access to private health insurance is rationed on price and ability to pay. Those unable to afford a health insurance policy are unable to acquire a private plan except by employer-provided and other job-attached coverage, and insurance companies sometimes pre-screen applicants for pre-existing medical conditions.
In healthcare, the third-party agent is the patient's health insurer, who is financially responsible for the healthcare goods and services consumed by the insured patient. [citation needed] Health economists evaluate multiple types of financial information: costs, charges and expenditures. [citation needed]
Washington, DC: National Institute for Health Care Reform. Archived from the original (PDF) on 2010-08-19; Moeller DJ, Evans J (2010). "Episode-of-care payment creates clinical advantages". Manag Care. 19 (1): 42– 5. PMID 20131642. Jain M (9 March 2010). "Bundled payments might cut hospital costs without reducing quality of care".
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