Support for Health Insurance Coverage for Legal Abortion in the United States

Henderson, Charley D.; Yang, Philip Q.

doi:10.3390/ijerph19010433

Cited by 1 publication

(1 citation statement)

References 23 publications

(42 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…While current decision support tools simplify the health plan selection process for patients and their families, they ignore the underlying differences in the coverage policies between plans and may match an individual or family with a health plan whose coverage policies are not aligned with their values. The potential for misalignment between health plan coverage and personal values has been highlighted in the United States in the context of abortion, where in 2018, approximately half of US adults surveyed were found to support health plan coverage for abortion and approximately half did not support health plan coverage for it [2]. At present, it is so difficult to fully comprehend health plan details that even human resources departments, who typically make decisions regarding health plan benefit designs on behalf of a company or organization, are challenged.…”

Section: Personalization and The Patientmentioning

confidence: 99%

Moving to Personalized Medicine Requires Personalized Health Plans

Powell¹,

Dolan²

2022

J Particip Med

View full text Add to dashboard Cite

When individuals, families, and employers select health plans in the United States, they are typically only shown the financial structure of the plans and their provider networks. This variation in financial structure can lead patients to have health plans aligned with their financial needs, but not with their underlying nonfinancial preferences. Compounding the challenge is the fact that managed care organizations have historically used a combination of population-level budget impact models, cost-effectiveness analyses, medical necessity criteria, and current medical consensus to make coverage decisions. This approach to creating and presenting health plan options does not consider heterogeneity in patient and family preferences and values, as it treats populations as uniform. Similarly, it does not consider that there are some situations in which patients are price-insensitive. We seek to highlight the challenges posed by presenting health plans to patients in strictly financial terms, and to call for more consideration of nonfinancial patient preferences in the health plan design and selection process.

show abstract

Section: Personalization and The Patientmentioning

confidence: 99%