1 in 5 Medicare beneficiaries spend 1/2 or more than 1/2 of their monthly incomes on healthcare expenses

Statistic Info

Those healthcare expenses include premiums, prescription drugs, and other costs not covered through fee-for-service Medicare. However, for over a quarter of Medicare recipients, Medicare premiums were their highest healthcare costs.

Author: HealthPayerIntelligence

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Physician Practices

Nearly 1/3 of beneficiaries age 65+ said they turn to an insurance broker or agent

88% of physicians describe the prior authorization burden as high or extremely high

Approximately 80% of physicians also said prior authorizations at least sometimes result in treatment abandonment

With prescription drug prices rising at an average rate of 31.6%, physicians can expect patients to search for solutions to their expensive prescription bills

Managing provider preferences is the top scheduling challenge, according to 31% of executives surveyed

44% of healthcare businesses plan to implement customer experience strategies in 2023

57% of physicians say social media changed their views on medications

Prior authorizations are a paperwork burden that takes up physicians’ & staff’s time while delaying care for patients, according to 93% of doctors surveyed by AMA

52% of U.S. patients said healthcare providers dismiss their described symptoms

Nearly 75% of patients turn to online reviews as the first step when searching for a new physician

Revenue Management

Healthcare organizations will increase their cybersecurity budgets, in some cases by more than 15% compared to 2022

Demand for contract labor costs this year should normalize at about 60% higher than 2019 levels

Medicare Advantage enrollment is expected to reach a milestone this year, exceeding 50% of the total Medicare population in 2023

An estimated 5 million to 14 million are expected to lose coverage as states resume eligibility checks

63% of CEOs identified inadequate Medicaid reimbursement as a concern

Over the last year, medical care prices grew by 3.1%

The researchers found that, overall, medical deductibles were higher in 2023 than in 2022

The healthcare industry could save almost $25 billion, or 41%, by fully automating administrative transactions

Smaller party annual revenues exceeded $1 billion in more than 15% of last year’s transactions, coming in just below the previous year’s historic high of 16.3%

The federal budget will extend incentive payments for alternative payment models for an additional year, through 2025. However, the incentive payments will be at 3.5% instead of 5%

More 2022 Stats

Telehealth utilization rose 5.5% in December, up slightly from November, according to Fair Health’s national monthly tracker

52% of U.S. patients said healthcare providers dismiss their described symptoms

Researchers found that 8.3 million Medicare beneficiaries participated in a telehealth visit, & of these, 5% had one or more out-of-state telehealth visits

Telehealth, physician payment, training more doctors & pandemic preparedness are among the health care provisions in the federal government’s $1.7 trillion budget for 2023

The federal budget will extend incentive payments for alternative payment models for an additional year, through 2025. However, the incentive payments will be at 3.5% instead of 5%

Although specialty medications total roughly 2% of prescribed drugs, they account for more than 52% of all pharmacy spending

Nearly 40% of Americans are confused by medical bills

Federally-facilitated Exchange Improper Payment Rate Less Than 1% in Initial Data Release

Medicare physician pay has declined 22% from 2001 to 2021

76% of healthcare leaders indicate they think inflation will have a significant impact on their strategy