When low income people end up skipping preventive care and maintenance care for ongoing conditions, their health suffers.
I wonder whether out of pocket spending for mental health services has gone up or down with high-deductible health coverage. More research to come. But for now, a look at how “consumer-directed” health care is affecting overall consumer spending for health care:
“I’ve heard of nothing but acceleration” of employers into consumer-directed health insurance, said Roy Ramthun, a benefits consultant who was a senior health policy advisor in President George W. Bush’s administration. “More local units of government, school districts and even some union plans are starting to move more aggressively into these areas.”
And in case you were wondering, spinach is the winner in the superfood faceoff with kale.
Kale has been the trendy new health food in recent years, and with good reason. But don’t forget about the old standby super food, spinach.
Looking at this graphic we made from information provided by USNews, there seems to be a reason behind Popeye’s obsession with spinach instead of other green superfoods — namely perhaps more fiber, protein, calcium and potassium.
You can’t really go wrong with either one. It’s one reason we include both in some of our products, like Nature’s Harvest.
This article explains how 31 people are being laid off from a hospital in Keene, New Hampshire, due to a number of factors including less reimbursement from Medicare and Medicaid and problems stemming from high deductible health plans:
Hospital officials said in December recent trends toward high-deductible health insurance plans have apparently led to increases in outstanding bad debt, which includes unpaid patient bills, and also to reductions in the public’s use of some medical services. The number of patients, which at the hospital averages more than 30 filled beds at any one time, is down, and demand for outpatient services is also off.
This article states that high deductible plans have skyrocketed from 8% in 2009 to 19% last year. If they continue at this rate, about 50% of people will have high deductible plans by 2020. Oh what a wonderful world it will be.
We in the social work field are known for advocating for just about everyone — the poor, the homeless, LBGT, Veterans, the elderly, people with physical disabilities, people with mental disabilities, the unemployed, the incarcerated, and so on. But when it comes to advocating for ourselves, we seem to have a harder time, and the many groups who we speak for are often not able to provide the same kind of “got your back” advocacy in return. For that reason, mental health providers are a category, politically, that is easily stomped on. Though we represent many, we represent the underrepresented, the less powerful, and the very busy people who must work two jobs for a living.
Here is a chance to help out your fellow mental health provider. Please consider signing the petition linked below to help advocate for mental health providers to be adequately compensated for their work.
This study by RAND is the largest survey yet to show the effects of high deductible insurance plans. The study notes that people were less likely to access preventative care when they have a high deductible. People are also less likely to access mental health care when they have a high deductible, particularly if they are middle class or poor. More research to follow.