iLoveBenefits: Industry News Blog

Emergency Doctor’s Perspectives on Getting and Paying for the Care of their Patients

As you look at this survey keep in mind who they are asking and how they are responding. For example, 8 out of 10 are seeing patients…who are foregoing or delaying medical care. While it seems to say that 80% of physicians are seeing at least one patient who is delaying health care, it is not providing the detail about how many patients on the whole are delaying medical care…

And what percent of patients understand their health insurance coverage and how it works?

According to a recent nation-wide survey of emergency physicians:

  • 96% said that emergency patients do not understand what their health insurance policies cover for emergency care
  • 8 in 10 are seeing patients with health insurance who have forgone or delayed medical care because of high costs
  • 62% say most health insurance companies provide less than adequate coverage for emergency care visits
  • Over 60% have had trouble finding in-network specialists to care for patients in the last year
  • A quarter of them say they have trouble finding in-network specialists on a daily basis

Source: “Insurance Companies Mislead Patients By Selling “Affordable” Policies That Cover Very Little,” American College of Emergency Physicians News Release, May 9, 2016,

Kaiser poll for most popular PPACA provision yields runaway favorite

Here is an interesting poll. However, what people are expecting and what gets delivered are likely to be two entirely different things. What people expect in the form of ‘short and easy to understand description’ is going to be entirely different from what they get. First,  what people really want to know is, what is the plan I purchase going to pay when I receive this or that service? People are going to be disappointed. They aren’t going to even be able to know what the service is going to cost upfront, much less what portion they will have to pay out of their pockets. . . unless someone in Congress or HHS does something quickly to remedy this abyss of information.  So here is the survey – what are your expectations?

Americans aren’t blowing raspberries on PPACA in its entirety, according to a recent poll conducted by the Kaiser Family Foundation. In its monthly tracking poll, the foundation asked people to reveal their most liked and disliked PPACA provisions.

The runaway winner for most favored? The requirement that health plans provide consumers with a short, easy to understand description of benefits and coverage — favored by some 60% of people polled. It was the only provision in the entire law to be rated favorably by more than half of respondents.

The rest of the top 10 most liked provisions are:
2. Guaranteed issue. (47%)
3. Gradually close Medicare “donut hole.” (46%)
4. Tax credits to small businesses. (45%)
5. Subsidy assistance to individuals. (44%)
6. Health plan decision appeals. (37%)
7. Employer mandate/penalty for large employers. (35%)
8. Medicaid expansion. (34%)
9. Medical loss ratio. (34%)
10. No cost-sharing for preventive services. (33%)

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