People with unaffordable deductibles or coinsurance
Insured people face cost sharing that makes care difficult to afford.
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Problems that hurt them
Paths that fix these help them.
- Medical debt affects about 100 million people: Medical debt leads them to skip care and face damaged credit and financial distress.
- Patients can't know prices in advance: Secret contracts and inconsistent transparency make prices hard to know in advance.
- Pharmacy benefit managers profit from opaque drug pricing: List-price-based coinsurance exposes them to higher drug prices.
- Facility fees: the same service costs more in a hospital-owned building: Hospital ownership adds a facility fee to the cost of the same clinic visit.
- Brand-name drug prices far above production cost: Market exclusivity sustains drug prices far above production cost.
- Cyberattacks can halt payments and care: Cyberattacks expose personal health data.
Problems they gain from
Paths that fix these cost them.
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