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Pennsylvania Survey Respondents Worry about Hospital Costs, Face Challenges Understanding Cost and Quality Information, and Support Government Action
Background Hospitals provide essential care, but the cost of hospital services can be difficult for consumers to anticipate and afford. Findings from Altarum’s Consumer Healthcare Experience State Survey (CHESS) show widespread concern about hospital costs and gaps in consumers’ ability to find and interpret information about hospital prices, billing and quality. This brief summarizes responses […]
Read MorePennsylvania Survey Respondents Worry about High Drug Costs and Express Bipartisan Support for Policy Solutions
Background Prescription drugs are an essential part of health care for many individuals and families. National data indicate that nearly seven in every ten American adults (69%) are prescribed at least one medication,[i] making affordability an important consideration for a large share of the population. At the same time, prescription drug prices in the United […]
Read MorePennsylvania Survey Respondents Receive Unexpected Medical Bills, Incur Medical Debt, and Express Bipartisan Support Government Action
Background In the absence of affordable care options, individuals may find themselves burdened by medical costs. In 2024, nearly 100 million Americans owed over $220 billion in medical debt.[i] Medical debt is largely driven by unaffordable bills: many Americans with private coverage must pay thousands of dollars in out-of-pocket expenses to get care, including increasingly […]
Read MorePennsylvania Survey Respondents Struggle to Afford High Health Care Costs, Worry about Affording Health Care in the Future, and Express Bipartisan Support for Policy Solutions
Background Health care is expensive in the U.S., and Pennsylvania is no exception. Across the country 71% of all CHESS respondents surveyed have reported some form a health care affordability burden. Despite the fact that the U.S. spends substantially more on health care per person than other high‑income countries, this higher spending does not consistently […]
Read More2025 Pennsylvania Snapshot
The Healthcare Affordability Snapshot provides legislators, consumer advocates, regulators and other stakeholders a tool to compare their state’s health policies across other states. The categories examined in this resource explore a variety of policy options that have previously appeared in the Scorecard, as well as additional policies that impact health care affordability. Policies were selected […]
Read MorePennsylvania
Health care affordability remains a persistent challenge for many Pennsylvania residents. Findings from the Consumer Healthcare Experience State Survey (CHESS) illustrate how high health care costs contribute to delayed care, financial strain, and widespread concern about affording care in the future. This brief describes findings from a survey of more than 1,400 Pennsylvania adults, conducted […]
Read MorePennsylvania
The Health Care Value Hub’s 2026 Health Care Affordability State Policy Snapshot provides legislators, consumer advocates, regulators and other stakeholders with a tool to compare their state’s health policies across other states. The Snapshot explores policies impacting health care affordability across four domains: Policies were selected based on whether they have the potential to impact […]
Read MorePennsylvania Enacts Prescription Drug Coverage Reforms
The Pennsylvania Insurance Department has introduced measures to Wayne Pike News. These reforms are part of the ongoing implementation of the Pharmacy Benefit Manager reform law Act 77 of 2024. Under the new law, the state the state will require more openness from PBMs—intermediaries that negotiate drug prices and set co-pays—includes a new process allowing […]
Read MorePennsylvania Medicaid Covers Doula Services
Pennsylvania has authorized its Medicaid program to provide coverage for doula services, reports Keystone Newsroom. Under House Bill 1608, Medicaid will reimburse certified doulas for providing childbirth education and support services, including physical and emotional support, during pregnancy, labor and delivery and up to one year postpartum. The law also establishes a Doula Advisory Board […]
Read MorePennsylvania Requires Coverage for Cancer Biomarker Testing
Effective January 1, 2025, Pennsylvania requires all state-regulates plans, including Medicaid, to cover biomarker testing under Act 39, reports Philly Voice. Biomarker testing is used to determine the unique makeup of a person’s cancer, which doctors can use to provide tailored care that includes the most effective treatments – sometimes with reduced side effects. Note: […]
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