Who Paid For Gender-Affirming Care?

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Who Paid For Gender-Affirming Care?
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Ge Bai, PhD, CPA, is a Professor of Accounting at the Johns Hopkins Carey Business School and Professor of Health Policy and Management at the Johns Hopkins Bloomberg School of Public Health.

designed to support and affirm a patient’s gender identity when it conflicts with the patient’ assigned gender at birth. My team’s, published this week in the Journal of General Internal Medicine, analyzed medical claims, insurance coverage, and social determinants of health among patients seeking gender-affirming care., a healthcare data technology company, we examined 2.2 billion medical claims in 2023 from 206 million patients.

Policymakers are often eager to determine, on behalf of Americans, what healthcare services insurance plans should cover, such as themandated by the Affordable Care Act. However, what services are considered essential varies from individual to individual and cannot be universally determined by a few for everyone.

If certain services are believed to be underprovided due to cost barriers, the most efficient solution is to mobilize private funds to directly support these services, such as charity clinics offering them at no or low cost. Mandating insurance plans to cover these services, or forcing taxpayers to support those plans, does more harm than good.Our community is about connecting people through open and thoughtful conversations.

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