October 3, 2023 – Marielle Farina, senior manager at consulting and accounting firm Deloitte, has spent her profession helping health insurers design their advantages.
But she wasn't prepared for the flood of medical bills that arrived throughout the whirlwind of latest motherhood.
“Becoming a new mother is very overwhelming – you have to stay in the hospital for a few days, then you take the baby home and try to figure out how to survive,” Farina said. “I remember the weeks after the birth when I received bill after bill, which only made the sleepless nights and stress of the whole thing worse.”
As it seems, maternity care is just the tip of the iceberg — women face higher medical costs than men, even without taking birth costs into consideration, in line with a brand new study report from Deloitte, co-authored by Farina.
The report focused on working women, who analysts say pay as much as $15.4 billion more per 12 months out-of-pocket for his or her health care expenses than men. This applies to all ages and applies to women aged 19 to 64.
Deloitte's healthcare team studied greater than 16 million individuals with employer-sponsored medical insurance. The results were staggering: In 2021, women spent a median of 20% more on deductibles than men. Excluding maternity costs, it was still 18%, which is a median of $266 more per 12 months.
While the precise reasons for the differences are unknown, the report identifies some likely reasons. Women use healthcare more often and spend 10% more on healthcare in comparison with men. Women need special tests that aren't available for men, including gynecological exams, menopausal visits and expensive breast cancer imaging.
Women also get less value for his or her money with regards to medical insurance, receiving about $1.3 billion less in advantages than men amongst those with business insurance, the report said.
According to the authors, the increased financial burden on health services might be viewed as a part of the “pink tax” – the worth of products intended for girls, comparable to menstrual products. It's an issue exacerbated by pay inequality between men and ladies, they are saying.
Women — particularly Black, Native American and Latino women — make up nearly two-thirds of the nation's workforce in low-paying jobs in industries comparable to restaurants, retail and residential cleansing, in line with a study report from the National Women's Law Center. And these public-facing workplaces were particularly high-risk at the peak of the COVID-19 pandemic.
“Women, particularly Black women, are overrepresented in these low-paying, high-risk jobs,” said Venicia Gray, senior manager of maternal and infant health on the National Partnership for Women & Families, a research and advocacy group. “To hear that men don’t pay as much is disheartening.”
There is research that indicates substandard take care of women within the doctor's office. According to the Kaiser Family Foundation 2022 Women's Health Survey, 29% of girls ages 18 to 64 who had seen a health care provider up to now two years felt their doctors had dismissed their concerns.
Additionally, 15% said a health care provider didn't think they were telling the reality, and 19% said their doctor assumed something without asking.
This ends in less efficient and thorough medical care, forcing women to make additional appointments and spend more on out-of-pocket costs, said Malia Funk, founding father of POV, a platform that advocates for girls's health.
Funk began the POV in 2021 after requiring eight doctor's appointments over three years to have a misplaced IUD removed that was causing pain, bleeding and infection, she said.
Like Farina, Funk had a background within the medical field, moving from medical school to positions as a healthcare strategist and personal equity advisor. Despite her extensive experience, she said, she was unprepared for the hurdles and costs that got here with solving what was alleged to be an easy medical problem.
Her repeat appointments counted as “sick visits,” which she needed to pay out of pocket toward her $4,000 deductible, she said. She was also charged $800 to rule out sexually transmitted infections, which she said other tests were kept away from her knowledge.
“While I was going through these negative experiences, I consulted with some of the largest healthcare companies,” Funk said. “I thought, 'I know this area and I still don't know how to get good health care.'”
Kulleni Gebreyes, an emergency medicine physician and Deloitte's chief health equity officer, said she hopes the report will encourage employers and insurers to take a better take a look at the coverage structure. Business leaders should work with providers to grasp why these discrepancies exist and to revamp advantages and value sharing.
“Women are not men with ovaries,” she said. “There are different medical needs, different disease burdens, different behaviors. As we think about how to make healthcare more affordable, we need to make sure our healthcare system takes that into account.”