And for 72% of denials, the explanation that insurers offered was all other reasons. As a result, for nearly three-quarters of all denied non-group qualified health plan claims, the reason is unclear. Only one-third of mental health prescribers listed in Oregons Medicaid directories provided care to Medicaid patients in 2018. Each 1% annual increase in outsourcing spending was associated with a 0.38% increase in treatable mortality (0.29 deaths per 100,000). Our Keynote Speaker will be Dr. Rachel Madley, Lead Health Policy Advisor & Legislative Assistant to. Trends in Prescription Drug Launch Prices, 2008-2021, Newly launched U.S. drugs head toward record-high prices in 2022. Coverage restrictions can include preauthorization requirements, clinical or social eligibility restrictions, or medical specialist prescribing. We observed that countries with greater progress toward UHC [Universal Health Coverage] were associated with significantly smaller declines in childhood immunization coverage during the pandemic. Meanwhile, a federal judge approved a $2.67 billion antitrust settlement against 34 BCBS plans. This follows lobbying from hospital groups after the Centers for Medicare and Medicaid Services proposed a 3.2% increase. In urban areas, counties with large Black populations were 32% less likely to provide vaccinations than urban counties with low Black populations. Hawryluk, Hospices Have Become Big Business for Private Equity Firms, Raising Concerns About End-of-Life Care, Kaiser Health News, 7/29/2022; Bannow, Parents and clinicians say private equitys profit fixation is short-changing kids with autism, STAT News, 8/15/2022, Unions growing among younger physicians: Coinciding with an increase in union organizing nationally, the Committee of Interns and Residents reports its membership has grown by 37.5% since 2019, adding 6,000 new members to bring its current membership to 22,000. Shareholders' deadline for submitting proposals for the agenda for the Annual General Meeting. Only 37% of U.S. men rate their countrys health care system as good or very good compared with 60% to 88% of men in other countries. About The Event. The difference was particularly marked for six cancers prostate, colon, non-Hodgkin lymphoma, oral cavity, liver, and esophagus where uninsured individuals diagnosed with stage 1 disease fared worse than insured people diagnosed with stage 2 disease. A team of activists within the chapter has also formed a Physician Working Group that is focused on messaging to medical professionals and updating the Maine Medical Associations position on single payer. McKinsey & Company estimates health care earnings will rise by 6% each year between 2021 and 2025, resulting in $31 billion in profits for the health industry. Linda Villarosa, contributor to The New York Times 1619 Project and author of the just-published Under the Skin: The Hidden Toll of Racism on American Lives and the Health of Our Nation will discuss the necessity of confronting systemic racism as part of any effort to achieve health justice, and Donald Cohen, co-author of The Privatization of Everything, will discuss the profiteering that threatens Medicare and Medicaid alongside every other public good in the United States. Please check your email for a registration message that includes details on our activities for Friday, Nov. 4 and Saturday, Nov. 5. Health insurance costs relative to salary vary by geography: in four states, insurance costs average at 15% of salary or more, including West Virginia at 20.9%. This years honorees include Michelle Morse, M.D., M.P.H. The Government Wants Your Comments. Among subgroups reporting current medical debt are 56% of Black adults, 50% of Hispanic adults, 26% of households earning $90,000 or more, and 22% of adults age 65 and older. Median per capita spending among the 22 countries was $296. You have successfully registered for PNHP's 2022 Annual Meeting, which will be held at the Boston Park Plaza. Why we Need Medicare for All; PNHP's 8-point plan; New Study: Perils and Possibilities; Emergency COVID-19 Legislation; Kitchen Table Toolkit; Take Action on COVID-19; Telling your COVID-19 story; PNHP members in the news; To get involved in Kentucky, contact Kay Tillow at nursenpo@aol.com or Dr. Garrett Adams at kyhealthcare@aol.com. Many Blue Cross Blue Shield plans arent paying taxes and instead are swimming in refunds, Judge approves Blue Cross Blue Shield $2.67B antitrust settlement. Amazon previously acquired PillPack for $753 million in 2018 to jump start its pharmacy business. The difference was particularly marked for six cancers prostate, colon, non-Hodgkin lymphoma, oral cavity, liver, and esophagus where uninsured individuals diagnosed with stage 1 disease fared worse than insured people diagnosed with stage 2 disease. In Georgia, chapter leaders renewed their efforts to engage with members of the Atlanta City Council in support of a municipal Medicare-for-All resolution. Billing and Insurance-Related Administrative Costs: A Cross-National Analysis. The analysis of women in large group health plans estimated the health costs associated with pregnancy, delivery, and postpartum care. Outsourcing in the U.K.s National Health Service to private, for-profit providers corresponds with an increase in treatable mortality and a decline in the quality of care, resulting in an additional 557 deaths between 2014 and 2020. In Kentucky, chapter members participated in a Continuing Medical Education (CME) program sponsored by the Kentucky Medical Association titled, The U.S. Healthcare Delivery System: Where it Succeeds, How it Fails to Meet the Needs of Patients and Providers, and Options for Change. The program was organized by Dr. Susan Bornstein and took place over Zoom on August 17. #CPNP2022 is Where Pharmacy and Psychiatry Meet. ACT is a global community of professional scientists representing the pharmaceutical and biotech industries, regulatory . Rome et al., Trends in Prescription Drug Launch Prices, 2008-2021, JAMA, 6/7/2022; Beasley, Newly launched U.S. drugs head toward record-high prices in 2022, Reuters, 8/16/2022, Bias pervades drug effectiveness studies: Drug, medical device, and biotech industry-sponsored cost effectiveness analyses (CEAs) are twice as likely to report a treatment as cost effective compared with independently conducted CEAs. Join AABB for the 2022 Virtual Annual Meeting, taking place Nov. 6-7. This years conference, themed Brick by Brick: Building the Movement for Medicare for All, will take place Nov. 4-5 at the Boston Park Plaza. At last years virtual Annual Meeting, PNHP launched a series of Member Interest Groups (MIGs) based on medical specialties, lived experiences, and areas of interest. 2022 APLU Annual Meeting November 6-8, 2022 Hyatt Regency Denver Convention Center Denver, CO. Only 1% of ACA Marketplace plan enrollees appealed their denied claims, and of those, nearly two-thirds (63%) were still denied coverage at the end of the appeal process. Facilities in counties with at least 42.2% Black residents were less likely to administer Covid vaccines than facilities in counties with less than 12.5% Black residents. Early registration pricing is valid through Sept. 11. .and We're Celebrating 25 Years! Low medical spending drove Cignas quarterly profit. Annual Report 2022. Amazon will see you now: Tech giant buys health-care chain for $3.9 billion. ; David H. Bor, M.D. I lived in an apartment for over a year before I knew that the oven did not work. 2022 Annual Meeting; Newsletter; Slideshows; Materials & Handouts; Kitchen Table Campaign; COVID-19 Response. Responding to attacks on abortion access across the U.S. Pediatricians organize for single payer within their medical society, Meet Gaurav Kalwani, PNHP Communications Specialist, Data Update: Health care crisis by the numbers, Commercial Insurance: A Hazardous Product, Studies and analysis of interest to single-payer advocates, Our Veterans: Winners, Losers, Friends and Enemies on the New Terrain of Veterans Affairs, The maternal mortality consequences of losing abortion access, Universal healthcare coverage and health service delivery before and during the COVID-19 pandemic: A difference-in-difference study of childhood immunization coverage from 195 countries, Trends in Out-of-Pocket Costs for Naloxone by Drug Brand and Payer in the US, 2010-2018, Association of Chronic Disease With Patient Financial Outcomes Among Commercially Insured Adults, CMS Should terminate the Medicare Advantage Program, Uncovered Medical Bills after Sexual Assault, Prevalence and Risk Factors for Medical Debt and Subsequent Changes in Social Determinants of Health in the US, //pnhp.org/system/assets/uploads/2022/10/WFHBAnaMalinow_Sept2022.mp3, NEOMED students lobby Kent City Council for Medicare for All, A stark contrast between American and Canadian health care, Labor Day solidarity and Medicare for All. To log in to the platform, Pathable, use the email address you used to register for the Annual Meeting. PNHP Annual Meeting, Oct. 22-23. by PNHP. I wanted to join an organization that was interested in investing in the development of its members, building power, and developing a roadmap to take back control of our health care system from big corporations and the insurance industry. The other nations included in the study were Germany, the Netherlands, and Singapore. Continuing education credits are not available. Press Briefing: Middle East and Central Asia . Our keynote speakers for Boston will address some of the most far-reaching and pressing issues facing the Medicare-for-All movement. 1 0 obj U.S. health care facilities in counties with a high proportion of Black residents were less likely to receive Covid-19 vaccines in May 2021. But high income households were not immune, with 19% of households making at least $180,000 cutting back. Reduced emergency department and surgery utilization drove the decline in spending, while Cigna also repriced its government-sponsored business to lower its MLR. Increased profits are expected to come from government programs like Medicare Advantage and Medicaid managed care, and increased demand for non-acute care. Its no surprise to PNHP members that the same vested interests opposed to Medicare for All want to undermine the Veterans Health Administration (VHA), our largest public health care system. Black men 65 and older were nearly seven times as likely as white men to die from an overdose. VHA staff provide high-quality care to nine million patients that is better coordinated and more cost effective than in the private sector. Oct 13, 2022-08:00 AM. 10-22-2021 @ 08:00 PM, 10-23-2021 @ 09:00 PM, https://pnhp.salsalabs.org/annualmeeting2021/index.html?eType=EmailBlastContent&eId=4f3207c3-943b-4115-ad2e-032e663ad198 . After adjustments for smoking rates, U.S. cancer mortality was higher than nine other countries, and researchers found no association between cancer care expenditures and cancer mortality. Whats a fun fact about yourself? In Minnesota, a group of 17 rising 2nd-year medical students and graduate students working towards their MPH participated in the chapters Summer Education Program. As of the end of July, 26% of known monkeypox cases were among Blacks and 32% were among Hispanics. High-acuity self-pay patients who visited for-profit emergency departments (EDs) were charged an average of $1,218 more than similar patients at non-profit EDs in 2021. It would be far more cost-effective for CMS to improve traditional Medicare by capping out-of-pocket costs and adding improved benefits within the Medicare fee-for-service system than to try to indirectly offer these improvements through private plans that require much higher overhead and introduce profiteers and perverse incentives into Medicare, enabling corporate fraud and abuse, raising cost to the Medicare Trust Fund, and worsening disparities in care. Attendees agree to comply with all Covid-related procedures that may be implemented at the Meeting, including mask-wearing. The event took place at a Federally Qualified Health Center, and the chapter continued sending letters to similar FQHC providers throughout the state telling them about PNHP and inviting them to join. Large majorities of older adults say health care costs are a major or minor burden, including 72% of people age 50 to 64 (24% major burden, 48% minor burden) and 66% of people 65 and older (15% major burden, 51% minor burden). AMP is the leading organization in . This cross-sectional study of commercially insured adults linked to patient credit report outcomes shows an association between increasing burden of chronic disease and adverse financial outcomes., CMS Should terminate the Medicare Advantage Program, by Physicians for a National Health Program, 8/25/2022. Meanwhile, AbbVie was reprimanded by a U.K. pharmaceutical trade group for code of conduct violations. The highest paid CEOs usually come from pharmaceutical and medical device companies. Amazon previously acquired PillPack for $753 million in 2018 to jump start its pharmacy business. Vital Signs: Hepatitis C Treatment Among Insured Adults United States, 2019-2020, , Centers for Disease Control and Prevention MMWR, 8/12/2022. Australia, which has a mix of public and private payers, was similar to the U.S. Seeing large medical organizations saying Medicare for All is a good idea is powerful, she says. Richman et al., Billing and Insurance-Related Administrative Costs: A Cross-National Analysis, Health Affairs, August 2022, Blues not paying taxes: A dozen Blue Cross Blue Shield (BCBS) insurers have not paid any net federal taxes since 2017 when Congress repealed the alternative minimum tax, while the government has refunded $6.6 billion to those insurers. Organizers say the growth is driven by concern over personal protective equipment and worker and patient safety during the Covid-19 pandemic, along with the increasing number of physicians who are directly employed by health systems rather than practicing independently. VHA care-givers are not a collection of physician practices or specialty services reimbursed by private insurers, Medicare, or Medicaid on a fee for service basis. Online pre-registration is now closed. Prevalence of treatment within 360 days of a positive test were 23% for patients with Medicaid, 28% with Medicare, and 35% with private insurance. The U.S. also could have saved $105.6 billion in health care costs associated with hospitalizations from the diseaseon top of the estimated $438 billion that could be saved in a non-pandemic year. of Health and Human Services in Seattle, demanding an end to Direct Contracting and REACH and eventually securing a meeting with the Regional Director of HHS. ; Danny McCormick, M.D., M.P.H. The lowest rates of treatment were among adults aged 18-29 and Medicaid recipients. 4 0 obj From November 6-9, collaborators from across the country gather to network and present on the latest public health findings. Radley et al., Americans, No Matter the State They Live in, Die Younger Than People in Many Other Countries, To the Point (blog), Commonwealth Fund, 8/11/2022, U.S. spends heavily on cancer care, gets middling outcomes: Among 22 high-income countries, the U.S. has the highest spending on cancer care over $200 billion in 2020, or $584 per person yet overall cancer mortality is only slightly better than average. ThyroSeq v2 Testing: Impact on Cytologic Diagnosis, Management, and Cost . Researchers also found facilities in rural counties and counties in the top quintile of Covid mortality were also less likely to administer Covid vaccines. Their decades-long experience finding creative solutions, researching data and sharing information provide insights into technology pathways . Health Disparities in Employer-Sponsored Insurance, Morgan Health and NORC, July 2022, More Black patients, less reimbursement: An analysis of Medicare data shows hospitals serving a disproportionate share of Black patients receive 21.6% lower payments for patient care per day than other hospitals. To use this feature please register as Seller. Higher facility fees were also charged at hospitals with more than 250 beds (by $826) and system-affiliated EDs (by $311). Our findings indicate that an estimated 17,842 persons who sought emergency department care related to sexual assault [out of 112,844 such visits in 2019] were expected to pay the often-substantial costs themselves. endobj On behalf of the American College of Toxicology and the ACT Council, it is my pleasure to invite you to attend the ACT 43rd Annual Meeting, November 13-16, 2022, at the Gaylord Rockies located outside Denver, Colorado. So far this year, the median annual price of 13 new novel drugs for chronic conditions is $257,000. Diabetes Care Among Older Adults Enrolled in Medicare Advantage Versus Traditional Medicare Fee-For-Service Plans: The Diabetes Collaborative Registry. Excess Mortality during the Pandemic: The Role of Health Insurance, White House Council of Economic Advisors, 7/12/2022, Uninsurance associated with late-stage cancer diagnosis, lower survival: A new study shows that people without insurance are significantly more likely to be diagnosed with late-stage cancers and face lower survival rates than their insured peers. Himmelstein et al., Hospitals that Serve Many Black Patients Have Lower Revenues and Profits: Structural Racism in Hospital Financing, Journal of General Internal Medicine, 8/5/2022, Medicaid utilization lower among Black patients: Medicaid spends an average of $317 less on Black enrollees than their white counterparts after adjusting for demographics, health status, and source of care. In that time, the work of our movement has become more urgent than ever; please join us as we engage in a long overdue weekend of learning, connecting, and strategizing for our shared goal: single-payer Medicare for All. FRIDAY, OCTOBER 28TH Rae et al., Health costs associated with pregnancy, childbirth, and postpartum care, Peterson-Kaiser Family Foundation Health System Tracker, 7/13/2022, Physician face time increases, but disparities grow: Over the past 40 years, the amount of time patients spend annually with outpatient physicians increased to 60.4 minutes in 2018, up from 40 minutes in 1978, mainly due to an increase in average visit duration (15.4 minutes to 22.2 minutes). ; Steffie Woolhandler, M.D., M.P.H., The New England Journal of Medicine, 9/15/2022. 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