Employer Sponsored Health Plans

Key Factors Behind How Much Commercial Insurers Pay Providers

by Kelsey Waddill

Commercial payers have been experiencing higher healthcare spending than fee-for-service Medicare due to higher prices, according to a report from the Congressional Budget Office (CBO). CBO observed...

How Employers Can Address Employee Needs, Social Determinants

by Victoria Bailey

The National Alliance of Healthcare Purchaser Coalitions (National Alliance) has offered a series of recommendations for employers that may help identify and address workers’ social determinants...

Proposed Law May Lower Employer-Sponsored Health Plan Premiums

by Victoria Bailey

The drug inflation rebate provision included in the Build Back Better Act could lead to a $111 billion reduction in employer-sponsored health plan premiums between 2022 and 2031, according to an Urban...

2021 Employer-Sponsored Health Plan Spending Growth Hit 6.3%

by Kelsey Waddill

Costs for employer-sponsored health plans increased 6.3 percent in 2021, surpassing every annual increase since 2010, a Mercer survey discovered. “Employers seem optimistic that this...

Most Adults Have Low Health Literacy, Strong Medical Bill Concerns

by Victoria Bailey

The majority of insured individuals in the United States are concerned about paying their medical bills, with low health literacy contributing to these concerns, according to the MITRE-Harris Poll...

UnitedHealthcare Launches Health Plan to Improve Customer Support

by Victoria Bailey

UnitedHealthcare has launched a new employer-sponsored health plan for Arizona residents that seeks to prioritize customer support experiences and lower member premiums. The Doctors Plan of Arizona is...

Solidifying Coronavirus Policies Might Improve Access to Coverage

by Kelsey Waddill

Advance premium tax credits and other coronavirus policies may have bolstered access to coverage during the pandemic, a RAND Corporation report stated. The researchers simulated nonelderly adult...

Payers, Orgs React to Coverage Implications of Build Back Better

by Kelsey Waddill

Updated 11/22/21: This article has been updated to include a statement from AHIP. Payers and stakeholder organizations have had mixed reactions to the Build Back Better Act, which passed in the...

An Overview of 2021 Prescription Drug Benefits: Tiers, Cost-Sharing

by Kelsey Waddill

In 2021, prescription drug benefits took many forms as employers and payers played with tier structures and cost-sharing strategies to help manage prescription drug costs for employees, a Kaiser Family...

Public Payers See Higher Member Satisfaction on Network Size, Cost

by Kelsey Waddill

Medicare Advantage, fee-for-service Medicare, and Medicaid received higher member satisfaction scores than individual health insurance market plans and employer-sponsored health plans, according to a...

The Status of High Deductible Health Plans with Savings Option

by Kelsey Waddill

Updated 11/22/2021:  This article has been updated to correct a statistic in order to indicate that large firms on average contributed $16,132 to the employee premium and $937 to each...

Medicaid, ACA Enrollment Growth Attended Level Uninsurance in 2020

by Kelsey Waddill

During 2020, a stable uninsurance rate attended enrollment growth in Medicaid and the Affordable Care Act marketplace, according to a report from the Assistant Secretary for Planning and Evaluation...

More Employers Turn to Employer-Sponsored Primary Care Clinics

by Kelsey Waddill

Employer-sponsored primary care clinics are a steadily growing trend among large employers and one that experts anticipate to persist as a result of the coronavirus pandemic, according to a study...

Walmart Increases Self-Funded Employer Access to Cost-Effective Care

by Victoria Bailey

Walmart has partnered with a digital platform to provide self-funded employers and their employees with access to cost-effective healthcare. Employers across the country will be able to utilize...

Employer Health Benefits Spending Will Normalize in 2022

by Kelsey Waddill

In 2022, health benefits spending will return to normal, prepandemic levels in 2022 by increasing by an average of 4.7 percent over 2021 healthcare costs, employers anticipated in Mercer’s...

How Payers Leverage Apps to Improve Type 2 Diabetes Management

by Kelsey Waddill

In October 2021, Capital Blue Cross strengthened its Type 2 diabetes management efforts by introducing two new apps to its members, apps that could enable them to prevent and potentially reverse the...

51% of Employees Satisfied with Employer-Sponsored Health Benefits

by Victoria Bailey

More than half of employees are satisfied with their current employer-sponsored health benefits, though many faced difficulties due to the rise of healthcare costs, according to the Employee Benefit...

ACHP: 5 Policy Recommendations about COVID-19 Testing Coverage

by Kelsey Waddill

The Alliance of Community Health Plans (ACHP) has issued five recommendations to CMS regarding COVID-19 testing coverage. “As Americans return to their workplace, children return to in-person...

How Payers Use Chronic Disease Management Flexibilities in HSAs

by Kelsey Waddill

Pre-deductible coverage for chronic disease management through a health savings account is a widespread practice among health plans which may require policymakers to enact regulatory changes in order...

How Benefit Design Can Steer Employees Toward High-Value Care

by Kelsey Waddill

When pursuing value-based care, employers have the capacity—in collaboration with their payer or third-party administrator partners—to steer their employees toward high-value care,...