Community Benefit
The data shows that the 22% of patients with a diagnosed behavioral condition drive 41% of total healthcare spend.
During AHIP 2023, Prx Health tackles the issue of billing codes being needed for reimbursement and to prevent inappropriate use of the ER.
There were also high rates of 'procedural disenrollments,' in which people didn't complete the enrollment process.
Satisfaction is particularly lacking in Gen Y and Gen Z, who give low customer service and communication scores.
The initiatives are meant to connect patients to services addressing needs such as food transportation, housing and baby supplies.
"Rise to Health is about making health equity actionable," says Dr. Kedar Mate.
The highest levels of severe illness were reported by patients with a non-COVID-19-related diagnosis, with 41.7% presenting with a major illness.
A full two-thirds of enrollees aren't sure if states can now remove people from Medicaid if they no longer meet eligibility.
The uninsured rate dipped from 8.4% last year compared to 9.2% in 2021, but there were disparities linked to ethnicity.
As a catalyst for the renewed push, lawmakers cited the lives lost during the COVID-19 pandemic.