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The Hidden Costs of Insurance: How Americans Are Paying More for Less Coverage

As profits for the largest U.S. health insurers have surged, many Americans are finding that they are paying more for health insurance that offers less protection. Over the past decade, deductibles have increased by over 150%, and out-of-pocket maximums have risen significantly, from $12,700 in 2014 to $17,400 in 2021 for family coverage. These increases have outpaced wage growth and inflation, leaving many insured individuals struggling to afford necessary care. The ACA did implement out-of-pocket maximums for in-network care, but these limits have climbed each year, exacerbating financial burdens. For those who receive out-of-network care, costs can be even higher, with some plans offering little or no coverage. As a result, more than 40% of individuals in ACA marketplace plans and one-fourth of adults with employer-sponsored insurance are now considered underinsured. The financial strain of high deductibles and out-of-pocket costs often leads people to delay or avoid necessary medical treatment, contributing to a growing divide in healthcare access between those who can afford care and those who cannot.

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Why Ownership Matters:

At Haven Home Health and Hospice, we are proud to be the last locally-owned, independent, and clinician-led provider of home-based care in our region. While that may sound like a simple fact, it’s actually a defining difference—one that matters deeply to the quality of care our patients receive every day. In recent years, private equity firms and large corporate healthcare chains have rapidly bought out home health and hospice providers across the country, including right here in our community. What we’ve seen in the aftermath is troubling: rapid turnover of staff, shrinking time spent with patients, and decisions driven more by profit margins than by compassion, dignity, and clinical excellence. 

When ownership shifts from caregivers to corporations, priorities shift too. 

We believe healthcare should never be treated like a commodity. That’s why we’ve remained committed to local, clinician-led ownership—because we answer to patients, not shareholders. Our leadership is hands-on, involved, and invested in every life we touch. We believe that meaningful care takes time, intention, and heart—and it starts with the people who make the decisions. As owners who are also licensed clinicians, we understand the weight of the responsibility we carry. Our patients are not numbers in a spreadsheet. They are parents, grandparents, neighbors, and friends. And we believe they deserve the kind of care we’d want for our own families. We will continue to stand against the corporatization of healthcare, and we invite you to stand with us. Whether you’re a patient, a referral partner, or a member of the community, your trust makes it possible for us to preserve something rare and essential in today’s healthcare system: personalized, human-centered care. Because in the end, ownership isn’t just about who signs the papers—it’s about who shows up when it matters most.

– John Ray, Founder

PRIVATE DUTY & IN-HOME SERVICES (IHS) SERVICE AREA

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