If CRN occurs primarily among high-comorbidity patients, then it may be cost-effective to reduce copayments
for these individuals following the principles of value-based insurance design (Chernew, Rosen, and Fendrick 2007; Chernew et al.
Presently Medicare requires copayments
for many of its services, but until now home health care has been the exception rather than the rule.
The investigators manipulated medication copayments
for a subset of employees of Pitney Bowes, a self-insured company.
For a total of 2,830 employees, copayments
for statins were eliminated and the co-payment for clopidogrel was significantly reduced.
This policy can make an impressive difference in your bottom line, but you need to keep in mind that even if the collection of office-encounter copayments
has been successful, collecting the larger amounts required for surgical procedures can be challenging; in fact, collecting these larger prepayments from patients can be downright uncomfortable for your staff.
In the study, copayments
for a mammogram ranged from $12.
Designed for patients on nonformulary medications, the program waives the copayment
if the member moves to a generic alternative.
It will suffice to say, however, the erroneous copayments
for the most part are due to software glitches in VHA's automated computer billing systems.
As insurance costs go up, employers cut back--sometimes reducing coverage, reducing financial support, or increasing deductibles and copayments
Federal law allows states to require beneficiary contributions, such as premiums and cost sharing (coinsurance, copayments
, and deductibles), for at least some Medicaid and SCHIP beneficiaries.
The AMA will seek federal legislation to require secondary insurers to pay Medicare deductibles and copayments
, regardless of how much Medicare pays for the service.
Saying the cost was "too high compared to private health care," VA Secretary Anthony Principi lowered VA's outpatient copayments