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5 Ways Health Insurance Providers Are Delivering Better Access To Care

posted by AHIP

on March 23, 2020

Ten years after the passage of the Affordable Care Act (ACA), insurance providers support and celebrate this progress because when patients get covered, get healthy and stay healthy, we all do better.

A Vision That Puts People First

Thanks to the reforms introduced by the ACA, a significant majority (86%) of consumers report being satisfied with the coverage they’ve obtained through a health care exchange. Consumers give their exchange plans high marks on choice of doctors, access to primary and specialty care, and cost-sharing features—such as co-payments for physician visits and prescription drugs.

Care Coordination and Chronic Care Management Programs

Roughly 4 in 5 Americans will suffer from a chronic disease by 2030. And with each additional chronic condition, people face higher costs and greater difficulty in managing their health. That’s why all health insurance providers offer disease management services for members with chronic conditions like diabetes and asthma. It’s been estimated that chronic care management could yield savings of about 0.9% of national health spending, or $331.3 billion over a 10-year period.

Value-Based Care Models

Since the passage of the ACA, health insurance providers have been working to refocus the health care delivery system on rewarding the quality of outcomes rather than the quantity of tests and procedures. Value-based care models ensure patients are getting the best care available and help contain overall health care costs. Today, 226.5 million Americans receive care through value-based models.

Embracing Technology for Better Care

The ways patients access care are constantly changing. And thanks to the ACA, health insurance providers are increasingly embracing technologies that provide better care, better services, and better value — including telehealth and app-based care. Demonstrating the growth of these services, a national study of insurance claims filed for alternative settings of care found telehealth surged 53% from 2016 to 2017.

Addressing Social Factors that Influence Health

70% of a person’s health can be determined by factors other than medical care. That’s why health insurance providers have adopted a renewed focus on social determinants of health (SDOH) and are leveraging new ways to integrate them into existing care models. In fact, a 2018 survey found that 80% of health insurance providers now integrate social determinant initiatives into their programs for the people they serve.

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