Long story short: Healthcare access is in the spotlight — is your business prepared?

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Healthcare has been top of mind this week in particular, as Americans grapple with the fallout from the end of Roe v. Wade. But healthcare access is regularly a challenge for many employees, and it’s up to employers to help them. 

For the LGBTQ community, discrimination in their healthcare experience can have lifelong consequences in access to care, medication and insurance coverage. And it’s only going to get worse, warns Dr. Corina Lelutiu-Weinberger, an associate professor at Columbia University and a social psychologist. She shared the hurdles LGBTQ individuals face and how employers can reshape a broken system.  

“We need to work with health insurance companies and employers, because that's where change can happen. Things will improve if they change their policies to be more inclusive,” she says.

The Supreme Court’s decision to overturn Roe v. Wade has restricted access to vital healthcare for millions of Americans. What role can — and should — employers play? From the legal implications for employers offering travel benefits, to what the Supreme Court may go after next, like birth control and emergency contraception, catch up on everything we’ve covered, and what comes next. 

Healthcare professionals and providers weighed in their predictions for the future in our recent healthcare spotlight, where we looked at the future of virtual care, the innovative benefits employers are continuing to launch, and how providers are addressing BIPOC care in their  modern benefits plans. Read more of our top stories from the week to ensure you’re keeping your employees’ healthcare needs top of mind.  

Why the LGBTQ community has 'some of the worst outcomes in health'

In 2022, one in eight LGBTQ Americans reported that they experienced discrimination from their health insurance provider, according to HealthCare.com, a search tool for healthcare consumers. In practice, this discrimination can translate to an overall lack of coverage and access to gender-affirming medication and procedures, fertility treatments and medication for HIV prevention, says Dr. Lelutiu-Weinberger. 

“Many LGBTQ people avoid or delay medical care because they've encountered a lot of discrimination already and fear that they will be discriminated against,” she told associate editor Deanna Cuadra. “So they end up in the emergency room rather than accessing more preventive services, and urgent intervention is more expensive.”

Read more: Why the LGBTQ community has 'some of the worst outcomes in health'

Do people have access to the care they need? A look at healthcare in America

Two years have passed since the onset of COVID-19 in the United States, and in that time, healthcare workers and patients have been forced past their breaking points — physically, mentally and financially. As it stands, Americans are in $140 billion worth of medical debt, and the Bureau of Labor Statistics estimates that nearly half a million healthcare workers have quit their jobs since February 2020. 

With lives on the line, healthcare companies, healthcare providers and patients alike are now questioning the existing system, and searching for paths to a more positive future. But optimism can be a challenge. Associate editor Deanna Cuadra digs into what this looks like for mental health care, fertility support, and more. 

Read more: Do people have access to the care they need? A look at healthcare in America

Is virtual care the key to better, more equitable health outcomes?

In early 2020, just 7% of people in the U.S. had met with a healthcare provider virtually; by mid-2021, that number had jumped to 32%, according to a survey by Accenture. A quarter of respondents said their access to healthcare had improved since the onset of the pandemic, and more than 20% expressed interest in digital services. 

The surge of tech-based solutions in healthcare has moved far beyond virtual visits, writes editor-in-chief Stephanie Schomer. From advancements in remote patient monitoring to actual treatment delivered through new modalities, innovation continues to disrupt the healthcare space, bringing welcome change.

Read more: Is virtual care the key to better, more equitable health outcomes?

Why birth control access is under threat in the U.S.

At the moment, contraceptives like Plan B and IUDs are looking to be the next battleground for lawmakers, as states attempt to use the Supreme Court decision as grounds for banning emergency contraception. Yet those restrictions will hit the most vulnerable the hardest, impacting economic mobility and worsening the maternal mortality rate.  

Health plans are currently required to cover at least one method from each of the 18 FDA-approved categories of birth control under the ACA. Yet when Power to Decide, a nonpartisan organization that advocates for the right to prevent unplanned pregnancy, examined 42 health plans and pharmacy benefit managers, assessing whether they were in accordance with the Affordable Care Act’s stipulation that contraception is covered by insurers without copays, deductibles or any other kind of cost-sharing. While this provision has been in place since 2012, only two of the health plans examined passed. 

Read: Why birth control access is under threat in the U.S.
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