Ubolrat Piamjariyakul1, Donna Macan Yadrich2, Christy Russell3, Jane Myer3, Chanawee Prinyarux3, James L Vacek4, Edward F Ellerbeck5, Carol E Smith6. 1. University of Kansas School of Nursing, School of Nursing Building, 3901 Rainbow Boulevard, Mail Stop 4043, Kansas City, KS 66160-7502, USA. Electronic address: Upiamjariyakul@kumc.edu. 2. University of Kansas School of Nursing, School of Nursing Building, 3901 Rainbow Boulevard, Mail Stop 4043, Kansas City, KS 66160-7502, USA. 3. University of Kansas Hospital, USA. 4. University of Kansas Hospital, USA; School of Medicine, University of Kansas, University of Kansas Hospital, USA. 5. Department of Preventive Medicine and Public Health, School of Medicine, University of Kansas, USA. 6. University of Kansas School of Nursing, School of Nursing Building, 3901 Rainbow Boulevard, Mail Stop 4043, Kansas City, KS 66160-7502, USA; Department of Preventive Medicine and Public Health, School of Medicine, University of Kansas, USA.
Abstract
OBJECTIVES: To (1) identify the amount patients spend for insurance premiums, co-payments, deductibles, and other out-of-pocket costs related to HF and chronic health care services and estimate their annual non-reimbursed and out-of-pocket costs; and (2) identify patients' concerns about nonreimbursed and out-of-pocket expenses. BACKGROUND: HF is one of the most expensive illnesses for our society with multiple health services and financial burdens for families. METHODS: Mixed methods with quantitative questionnaires and qualitative interviews. RESULTS: Patients (N = 149) reported annual averages for non-reimbursed health services co-payments and out-of-pocket costs ranging from $3913 to $5829 depending on insurance coverage. Thirty one patients (21%) reported inadequate health coverage related to their non-reimbursed costs. CONCLUSIONS: Non-reimbursed costs related to HF care are substantial and vary depending on their insurance, health services use, and out-of-pocket costs. Patient referral to social services to assist with expenses could provide some relief from the burden of high HF-related costs.
OBJECTIVES:To (1) identify the amount patients spend for insurance premiums, co-payments, deductibles, and other out-of-pocket costs related to HF and chronic health care services and estimate their annual non-reimbursed and out-of-pocket costs; and (2) identify patients' concerns about nonreimbursed and out-of-pocket expenses. BACKGROUND: HF is one of the most expensive illnesses for our society with multiple health services and financial burdens for families. METHODS: Mixed methods with quantitative questionnaires and qualitative interviews. RESULTS:Patients (N = 149) reported annual averages for non-reimbursed health services co-payments and out-of-pocket costs ranging from $3913 to $5829 depending on insurance coverage. Thirty one patients (21%) reported inadequate health coverage related to their non-reimbursed costs. CONCLUSIONS: Non-reimbursed costs related to HF care are substantial and vary depending on their insurance, health services use, and out-of-pocket costs. Patient referral to social services to assist with expenses could provide some relief from the burden of high HF-related costs.
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Authors: Carol E Smith; Ubolrat Piamjariyakul; Kathleen M Dalton; Christy Russell; Jo Wick; Edward F Ellerbeck Journal: J Cardiovasc Nurs Date: 2015 Jul-Aug Impact factor: 2.083
Authors: Kristie M Harris; Daniel L Jacoby; Rachel Lampert; Richard J Soucier; Matthew M Burg Journal: Heart Fail Rev Date: 2020-11-20 Impact factor: 4.214
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