Employer Sponsored Health Plans

How Extending ACA Premium Tax Credits May Fix the Family Glitch

by Kelsey Waddill

By making all family members eligible for marketplace premium tax credits with the exception of those who have access to affordable coverage individual health insurance marketplace premiums may decline...

Employers: Healthcare Spending Is on an Unsustainable Trajectory

by Kelsey Waddill

Overall, large employers find healthcare costs excessive and that the healthcare spending burden would become unsustainable in the next five to ten years, according to a recent Kaiser Family Foundation...

Employer Costs Could Drop 43% with Younger Medicare Eligibility

by Kelsey Waddill

If the Medicare eligibility threshold dropped to 50 years of age and uptake was universal among those eligible, employer-sponsored health plans could see a 43 percent reduction in their healthcare...

UnitedHealth Q1 Care Activity Under Baseline, Revenue Growth Persists

by Hannah Nelson

While UnitedHealth Group’s Q1 total care activity came in under seasonal baselines due to low levels of outpatient care, revenues grew 9 percent, payer executives announced during UnitedHealth...

Uninsurance May Drop 14% If ACA Subsidy Increases Are Solidified

by Kelsey Waddill

If Congress made permanent the American Rescue Plan’s Affordable Care Act subsidy increases, then uninsurance might drop, marketplace enrollment could rise, and non-group premiums could decline...

Rectifying the ACA Family Glitch Could Drive ACA Premiums Down

by Kelsey Waddill

Approximately 5.1 million individuals are caught in the Affordable Care Act’s “family glitch,” according to a recent Kaiser Family Foundation (KFF) analysis. Under the Affordable...

Employer Strategies For Responding to the Mental Health Crisis

by Kelsey Waddill

Most healthcare stakeholders can perceive the impacts of the escalating behavioral and mental healthcare crisis on their own industry segment, but employers have a particularly proximate...

3 Types of Funding for Employer-Sponsored Health Plan Claims

by Kelsey Waddill

Employers have three primary options to choose from when they are deciding how to fund their employer-sponsored health plan claims: the self-insured, level-funded, or fully-insured health plan...

Shared Financial Risk of Dialysis May Lead to Medicare Cost Saving

by Hannah Nelson

One-third of adults who began dialysis with an employer-based group health plan (EGHP) switched to Medicare before the coordination period finished, resulting in $3 billion additional Medicare costs...

Employer-Sponsored Health Plans See Strong Member Satisfaction

by Kelsey Waddill

Most Americans who have employer-sponsored health plans expressed confidence in their health plans’ support and financial protection, according to a survey conducted on behalf...

How Expanding ACA Premium Tax Credits Could Effect ESI Coverage

by Kelsey Waddill

Opponents of expanding the Affordable Care Act’s premium tax credit policy have argued that doing so would have a negative effect on employer-sponsored insurance, but recent research from the...

Healthcare Spending Frequency Impacts Affordability for Members

by Kelsey Waddill

Whether care is affordable for members depends on more than just pricing; affordability is also tied to how clustered healthcare events—and, by extension, healthcare spending—are in a...

Aetna Updates Policies to Cover Transgender Feminizing Surgeries

by Kelsey Waddill

Aetna has updated its coverage policies to correct care disparities and to include gender-affirming surgeries for transgender women in most of its commercial plans, CVS Health announced. Aetna worked...

47% of Uninsured Americans Did Not Explore ACA, Medicaid Options

by Kelsey Waddill

Uninsured Americans may not be examining all of their options in Medicaid or on the Affordable Care Act marketplace, a Robert Wood Johnson Foundation and Urban Institute study discovered. In 2019, the...

Nevada Explores Potential State Public Option Models, Impacts

by Kelsey Waddill

Nevada’s state senate might consider a public option based on an existing public program or a model that creates a new Silver or Gold public option plan on the Affordable Care Act...

UnitedHealthcare Q4 Earnings Report Shows Leveling Care Activity

by Kelsey Waddill

Overall, UnitedHealthcare saw members’ care activity return to normal levels in the fourth quarter of 2020, payer executives announced during UnitedHealth Group’s 2020 fourth quarter...

Joint Venture To Lower Employee Healthcare Costs, Haven, Disbands

by Hannah Nelson

Haven, the joint venture healthcare company between three of America’s most powerful firms is disbanding after three years, according to CNBC. The partnership between Amazon, JPMorgan Chase, and...

More Employers Offer Employer-Sponsored Same-Sex Spousal Coverage

by Kelsey Waddill

Same-sex couples are increasingly gaining access to employer-sponsored same-sex spousal coverage, but benefits remain less accessible than for heterosexual couples, a recent Kaiser Family Foundation...

Employer-Sponsored Health Costs Rise, Call For ACA Expansion

by Hannah Nelson

With rising employer-sponsored health plan costs, limited options under the Affordable Care Act (ACA), and millions of people losing employer-sponsored health coverage since the onset of COVID-19,...

How Copayment, Coinsurance Impact Member Healthcare Spending

by Kelsey Waddill

Copayments and coinsurance can impact care utilization in employer-sponsored health plans depending on the service, a recent study published by Employee Benefit Research Institute (EBRI)...