A Comparative Expected Value Analysis Study to Determine if Health Insurance Coverage for Doctor Visits, Lab Tests, Imaging, Prescription Drugs, Urgent Care and Emergency Care Visits in The United States Provides Financial Benefit for The Non-Chronic

It was found that eighty-percent of the insured non-chronically ill do not reach their deductible and receive no financially benefit from health insurance coverage. It was also found that there was little to no difference in out-of-pockets costs between the insured that don’t meet their deductible and the uninsured when it came to primary care visits, tier one prescription drugs, lab work, X-rays, CT scans, MRI scans, Ultrasounds, Mammograms, urgent care and emergency department visits. Further, uninsured patients that shop around for care financially benefit from lower out-of-pocket costs than the insured that have not yet reached their deductible and access care with in-network healthcare provider.

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Publication Details

Journal
Account and Financial Management Journal
Published
2025-03-13
DOI
https://doi.org/10.47191/afmj/v10i3.02
Primary Topic
Healthcare Policy and Management
Type
article
Field-Weighted Citation Impact
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article

A Comparative Expected Value Analysis Study to Determine if Health Insurance Coverage for Doctor Visits, Lab Tests, Imaging, Prescription Drugs, Urgent Care and Emergency Care Visits in The United States Provides Financial Benefit for The Non-Chronic

S. Eric Anderson, Armond Manassian, Jim Pinder, Elizabeth M. Dameff et al.
Account and Financial Management Journal
Healthcare Policy and Management
article

A Comparative Expected Value Analysis Study to Determine if Health Insurance Coverage for Doctor Visits, Lab Tests, Imaging, Prescription Drugs, Urgent Care and Emergency Care Visits in The United States Provides Financial Benefit for The Non-Chronic

S. Eric Anderson, Armond Manassian, Jim Pinder, Elizabeth M. Dameff, Kim-Liang Chuah
article en

Abstract

It was found that eighty-percent of the insured non-chronically ill do not reach their deductible and receive no financially benefit from health insurance coverage. It was also found that there was little to no difference in out-of-pockets costs between the insured that don’t meet their deductible and the uninsured when it came to primary care visits, tier one prescription drugs, lab work, X-rays, CT scans, MRI scans, Ultrasounds, Mammograms, urgent care and emergency department visits. Further, uninsured patients that shop around for care financially benefit from lower out-of-pocket costs than the insured that have not yet reached their deductible and access care with in-network healthcare provider.

Account and Financial Management JournalVol. 10(03)
La Sierra University (US), Kaiser Permanente Fontana Medical Center (US)
Openalex Percentile: Top 92%
Healthcare Policy and Management
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