Payer 101: Three things every healthcare market researcher should know

How much do you know about the U.S. health insurance landscape?

In this post, we’ll discuss three basic aspects of U.S. health plan payers: type, geography, and size. Understanding these aspects will help you design a study sample that is representative of your market.

MedSpan Research’s Tips for Conducting Payer Research

MedSpan Research’s Mentions…Here’s a Tip!   MedSpan Research finds that many consumers do not know the type of Medicare (Fee for Service vs. Advantage) or Medicaid (state vs. managed) insurance they have. When conducting an Internet survey with consumers, ask them to look at their insurance card to give you an accurate answer.

Medicare Acute and Post-Acute Care Payments for 30-day Episodes That Began With Hospitalization and Cost Depending on Location

For each of these types of admissions (congestive heart failure), the cost of post-acute care, on average, exceeds that of inpatient care arising from the initial admission and any readmissions. The location in which the patient is discharged is also a factor in the cost.

A Controversial Topic- End of Life Cost of Care Reduced in Hospice

On average, hospice saves $8,700 (12%) in cost of care per patient during the last year of life. Hospice reduces the need for hospitalizations and intensive care unit stays.

Many Medicare Beneficiaries Seeing Their Needs Unmet, Especially When Care Being Prepaid

One of the most vulnerable patient groups in healthcare are the elderly. Still, there are Medicare beneficiaries reporting needs that are unmet. This includes any care that a patient requires, but does not receive.