Category: Health Services

The emphasis on preventive care by the payer likely contributed to its high re-enrollment rate. Insurance Company’s employer-sponsored healthcare plan, compliant with the Affordable Care Act, has emerged as the fastest-growing commercial plan for the payer. Data from the payer’s Impact Study suggests that the healthcare plan company’s focus on both price transparency and preventive care is correlated with improved care and medication adherence. In 2022, the healthcare plan witnessed a surge in preventive care visits and a decline in high-cost, avoidable care utilization. Physician visits saw a notable 20 percent increase. Moreover, preventive physical exams experienced a 9 percent rise, preventive mammograms increased by 15 percent, and preventive colonoscopy rates jumped by an impressive 34 percent. Conversely, there was a 6 percent reduction in emergency department utilization. Inpatient hospital admissions dropped by 13 percent, and the overall number of surgeries decreased by 5 percent. Instead, members showed a preference for urgent care, leading to a 6 percent rise in urgent care utilization or virtual care.