OpenLB
Open Library of Bioscience

"When There Are Enough Cracks, Everyone Steps on Them": Administrative Burdens in the US Health Care System.

Abstract

No abstract text available.

Keywords

References

1. P. Herd and D. Moynihan, ���How Administrative Burdens Can Harm Health,��� Health Affairs, October 2, 2020, https://www.healthaffairs.org/do/10.1377/hpb20200904.405159/full/.
2. P. Herd and D. Moynihan, ���Administrative Burdens in Health Policy,��� Journal of Health and Human Services Administration 43, no. 1 (2020): 3���16, https://doi.org/10.37808/jhhsa.43.1.2.
3. P. Herd and D. P. Moynihan, Administrative Burden: Policymaking by Other Means, 1st ed. (Russell Sage Foundation, 2019).
4. M. A. Kyle and A. B. Frakt, ���Patient Administrative Burden in the US Health Care System,��� Health Services Research 56, no. 5 (2021): 755���765, https://doi.org/10.1111/1475���6773.13861.
5. S. F. Haeder and J. M. Zhu, ���Persistence of Provider Directory Inaccuracies After the no Surprises Act,��� American Journal of Managed Care 30, no. 11 (2024): 584���588, https://doi.org/10.37765/ajmc.2024.89627.
6. S. Collins, L. Haynes, and R. Masitha, ���The State of U.S. Health Insurance in 2022: Findings From the Commonwealth Fund Biennial Health Insurance Survey,��� Commonwealth Fund, October 29, 2022, https://www.commonwealthfund.org/publications/issue���briefs/2022/sep/state���us���health���insurance���2022���biennial���survey.
7. C. Robertson, K. Bibbins���Domingo, and G. Curfman, ���The US Preventive Services Task Force in Legal Jeopardy,��� JAMA 332, no. 19 (2024): 1607���1608, https://doi.org/10.1001/jama.2024.17377.
8. P. R. Shafer, A. Hoagland, and H. E. Hsu, ���Trends in Well���Child Visits With Out���of���Pocket Costs in the US Before and After the Affordable Care Act,��� JAMA Network Open 4, no. 3 (2021): e211248, https://doi.org/10.1001/jamanetworkopen.2021.1248.
9. A. Hoagland and P. Shafer, ���Out���Of���Pocket Costs for Preventive Care Persist Almost a Decade After the Affordable Care Act,��� Preventive Medicine 150 (2021): 106690, https://doi.org/10.1016/j.ypmed.2021.106690.
10. A. Hoagland, O. Yu, and M. Horn��, ���Social Determinants of Health and Insurance Claim Denials for Preventive Care,��� JAMA Network Open 7, no. 9 (2024): e2433316, https://doi.org/10.1001/jamanetworkopen.2024.33316.
11. A. Hoagland, O. Yu, and M. Horn��, ���Inequities in Unexpected Cost���Sharing for Preventive Care in the United States,��� American Journal of Preventive Medicine 68, no. 1 (2025): 5���11, https://doi.org/10.1016/j.amepre.2024.09.011.
12. M. Yaver, ���Rationing by Inconvenience: How Insurance Denials Induce Administrative Burdens,��� Journal of Health Politics, Policy and Law 49, no. 4 (2024): 539���565, https://doi.org/10.1215/03616878���11186111.
13. V. G. Villagra, B. Bhuva, E. Coman, D. O. Smith, and J. Fifield, ���Health Insurance Literacy: Disparities by Race, Ethnicity, and Language Preference,��� American Journal of Managed Care 25, no. 3 (2019): e71���e75.
14. K. E. W. Himmelstein, J. A. Lawrence, J. L. Jahn, et al., ���Association Between Racial Wealth Inequities and Racial Disparities in Longevity Among US Adults and Role of Reparations Payments, 1992 to 2018,��� JAMA Network Open 5, no. 11 (2022): e2240519, https://doi.org/10.1001/jamanetworkopen.2022.40519.
15. H. Schwandt, J. Currie, M. B��r, et al., ���Inequality in Mortality Between Black and White Americans by Age, Place, and Cause and in Comparison to Europe, 1990 to 2018,��� Proceedings of the National Academy of Sciences of the United States of America 118, no. 40 (2021): e2104684118, https://doi.org/10.1073/pnas.2104684118.
16. ���Can Physicians Bill for Both Preventive and E/M Services in the Same Visit?��� American Medical Association, March 26, 2022, https://www.ama���assn.org/practice���management/cpt/can���physicians���bill���both���preventive���and���em���services���same���visit.
17. B. Nicoletti and V. Magoon, ���Combining a Wellness Visit With a Problem���Oriented Visit: A Coding Guide,��� Family Practice Management 29, no. 1 (2022): 15���20.
18. J. Lo, M. Long, R. Wallace, M. Salaga, and K. P. Published, ���Claims Denials and Appeals in ACA Marketplace Plans in 2023,��� KFF, January 27, 2025, https://www.kff.org/private���insurance/issue���brief/claims���denials���and���appeals���in���aca���marketplace���plans���in���2023/.
19. P. R. Shafer, M. Horn��, and S. B. Dusetzina, ���Rethinking Annual Deductibles: The Case for Monthly Cost���Sharing Limits,��� Health Affairs Blog, October 16, 2020, https://doi.org/10.1377/hblog20201013.566424.
20. P. R. Shafer, M. Horn��, and S. B. Dusetzina, ���Monthly Cost���Sharing Limits and Out���of���Pocket Costs for Commercially Insured Patients in the US,��� JAMA Network Open 5, no. 9 (2022): e2233006, https://doi.org/10.1001/jamanetworkopen.2022.33006.
21. P. R. Shafer, D. M. Anderson, M. Horn��, and S. B. Dusetzina, ���The Practical Challenges of Implementing Monthly Cost���Sharing Limits in Commercial Health Plans,��� Health Affairs Forefront, https://doi.org/10.1377/forefront.20230919.926836.
22. L. Hong and C. Mommaerts, ���Time Aggregation in Health Insurance Deductibles,��� American Economic Journal: Economic Policy 16, no. 2 (2024): 270���299, https://doi.org/10.1257/pol.20210799.
23. M. Horn��, D. M. Anderson, and A. M. Fendrick, ���Episode���Based Cost Sharing to Prospectively Guarantee Patients' Out���of���Pocket Costs,��� JAMA Internal Medicine 184, no. 6 (2024): 597���598, https://doi.org/10.1001/jamainternmed.2023.8566.
24. Center on Budget and Policy Priorities, ���Building on the Affordable Care Act: Strategies to Address Marketplace Enrollees' Cost Challenges,��� April 10, 2024, https://www.cbpp.org/research/health/building���on���the���affordable���care���act���strategies���to���address���marketplace���enrollees.
25. M. Brenan, ���View of U.S. Healthcare Quality Declines to 24���Year Low,��� Gallup, December 6, 2024, https://news.gallup.com/poll/654044/view���healthcare���quality���declines���year���low.aspx.