Currently Viewing:
Cost-Sharing Roundtable — The Patient Assistance Safety Net: How Many Need Help? How Many Are Helped?
Currently Reading
Paul Billings Discusses Balancing Innovative Therapies With Higher Costs
May 23, 2018
Kristina Wharton: More Funding Needed to Support FQHCs
May 13, 2018
Paul Billings Discusses the Financial Burden of Prescription Drug Costs in Medicare
May 10, 2018
Michele McCourt Outlines Financial Burdens Related to Cancer Treatment
May 08, 2018
Dan Klein on the Growing Role of Charitable Organizations Like PAN Foundation
May 02, 2018
Michele McCourt on Directing Patients to Financial Medication Assistance
April 28, 2018
Kristina Wharton on the Increased Use of Services Provided by FQHCs
April 25, 2018
Dan Klein Explains the Need for Patient Assistance Foundations
April 22, 2018
Leigh Purvis Outlines the Burdens of High Drug Costs on Medicare Beneficiaries
April 20, 2018
Michele McCourt on Potential New Therapies for Patients With Cancer
April 17, 2018
Ed Haislmaier on Efforts to Lower Drug Costs
April 15, 2018
Dr Todd Yezefski on the Benefits of Financial Navigators in Oncology
April 14, 2018
Kristina Wharton Discusses Services Provided at Federally Qualified Health Centers
April 09, 2018
Dan Klein Outlines Policy Changes to Strengthen the Safety Net
April 05, 2018
Ed Haislmaier: Medicare Is "Stuck in a Time Warp"
April 04, 2018
Leigh Purvis on Out-of-Pocket Costs for Medicare Beneficiaries
March 31, 2018
Dr Todd Yezefski Discusses the Financial Hardships of Cancer Treatment
March 30, 2018
Kristina Wharton Analyzes the Health of the Population Using FQHCs
March 29, 2018
Michele McCourt Discusses Impact of High Costs for Patients With Cancer
March 27, 2018

Financial Burden an Unintended Outcome of Cancer Care

Surabhi Dangi-Garimella, PhD
K. Robin Yabroff, PhD, strategic director, Surveillance and Health Services Research Program, American Cancer Society, would like to see more longitudinal studies that can develop more informed policies to alleviate patient financial hardship. Yabroff was speaking at the Cost-Sharing Roundtable co-hosted by the Patient Access Network Foundation and The American Journal of Managed Care®
Financial hardship, a common phenomenon among working-age patients, can have different aspects: material, psychological, or behavioral, according to K. Robin Yabroff, PhD, strategic director, Surveillance and Health Services Research Program, American Cancer Society. Yabroff was presenting at the Cost-Sharing Roundtable co-hosted by the Patient Access Network (PAN) Foundation and The American Journal of Managed Care® on February 23, 2018, at the Barbara Jordan Conference Center in Washington, DC.

Yabaroff told the audience that results from their yet unpublished studies among patients with cancer history identified compelling evidence of financial stress, “with patients telling us about credit card debt accrued as a result of time away from work” as well as losing their home and filing for bankruptcy—all consequences of patients' savings being wiped out following severe illness. Meeting the costs associated with their chronic disease condition was a considerable stressor for patients, over and above the stress associated with their diagnosis and associated treatment. Some patients also indicated that they had compromised their career by staying locked in a job that offered good insurance coverage.

According to a 2012 update, nearly 50% of US adults were living with at least 1 chronic condition and about 25% had at least 2 chronic conditions.1 The growing healthcare expenditures can increase out-of-pocket (OOP) spending, and growing OOP costs can indirectly affect outcomes if patients delay seeking care or, worse, forego their care, Yabroff noted.

Financial hardship among patients in the United States is affected by several different factors, including:
  • Prevelance of high-deductible health plans (HDHPs)
  • Growing patient cost sharing through higher deductibles, co-pays, and coinsurance
  • Changing treatment patterns
  • Rising cost of treatment
  • A growth in the number of uninsured individuals.


Studies have indicated that a significantly higher number of individuals signed up for an HDHP in 2017, Yabroff said. HDHPs have a higher deductible than a traditional health plan and can be combined with a health savings account, which allows payment of medical expenses with tax-free money. According to the National Health Interview Survey, HDHP enrollment increased by nearly 4 percentage points in the first 9 months of 2017 (43.2%, up from 39.4% in 2016).2

Results gathered from the 2015-2016 National Health Interview Survey found that a significant proportion (45.2%) of individuals between ages 18 and 64 years who were worried about paying their medical bills were uninsured; nearly 19% had public insurance and about 10% had private insurance. The population aged 65 years and older saw a much smaller stress of medical bills, however: 8.9% of those with Medicare only, 6.9% with Medicare and public insurance, and 3.2% with Medicare and private insurance faced financial hardship with their treatment.



Related Articles

AJMC Study Confirms Link Between Financial Stress, Failure to Stick With Hypertension Medication
Ian Manners: Addressing Financial Toxicity for Patients
Dr Joshua Richter Discusses Patient Financial Burden of New Treatments and Cures
Michele McCourt Discusses Growing Financial Hardships for Patients With Cancer
 
Copyright AJMC 2006-2018 Clinical Care Targeted Communications Group, LLC. All Rights Reserved.
x
Welcome the the new and improved AJMC.com, the premier managed market network. Tell us about yourself so that we can serve you better.
Sign Up
×

Sign In

Not a member? Sign up now!