Employer Sponsored Health Plans

Consumer-Directed Health Plan Members Spent 13% Less on Care in 2016

by Jessica Kent

Individuals enrolled in consumer-directed health plans (CDHPs) in 2016 had 13 percent lower spending on average than those not enrolled in CDHPs, according to a report from Health Care Cost Institute...

70% of Employers Offer Packaged Health, Dental, Pharmacy Benefits

by Jessica Kent

Seventy-one percent of employers with 100 or more employees are either actively integrating or considering integrating their medical, dental, vision, and pharmacy benefits under their health and...

Leadership Plays Key Role in Effective Workforce Wellness Efforts

by Kyle Murphy, PhD

A new report from the Health Enhancement Research Organization (HERO) and Mercer reveals just how vital leadership support is to high-quality workforce wellness initiatives. “These findings...

Employers to Address Healthcare Consumerism, Innovation in 2019

by Kyle Murphy, PhD

The National Business Group on Health has released its top-five trends for the coming year, and employers clearly want to play a more involved role in healthcare transformation. Chief among their...

Employer-Sponsored Health Plans Prove Costly to Consumers

by Chuck Green

Workers and their families are spending a larger share of their income on their employer-sponsored health plans, according to a new study from the Commonwealth Fund. Coauthored by Sara Collins, Vice...

Narrow Network Health Plans Continue to Dominate ACA Exchanges

by Kyle Murphy, PhD

New analysis of available health plans on ACA exchanges in 2019 shows that narrow networks remain a dominant force. Avalere researchers found that more restrictive networks own nearly three-quarters...

Employers Working to Drive Down Rising Health Insurance Costs

by Kyle Murphy, PhD

The realization that consumers using less care but paying more to receive services and treatment is leading employers to rethink their approaches to providing health coverage to their employees,...

Health Payers Contend for Share of SMB Health Insurance Market

by Chuck Green

Changing government regulations and demands for benefits in the small to medium business market is likely to lead to consolidation and place a growing emphasis on creating innovative health plans,...

High-Deductible Plans Lead Diabetics to Forgo, Delay Treatment

by Chuck Green

Workers with diabetes who switched to high-deductible health plans requiring additional out-of-pocket expenses are more apt to put off necessary check-ups, a new Annals of Internal Medicine study...

Employer-Sponsored Medicare Advantage Enrollment Up 12% for 2019

by Thomas Beaton

Employer-sponsored Medicare Advantage (MA) enrollment for plan year 2019 increased by 12 percent, representing a bump of more than 443,000 individual members, according to a new analysis by Mark Farrah...

Cigna: Integrated Pharmacy, Medical Benefits Improve Overall Health

by Thomas Beaton

Integrating pharmacy benefits with medical benefits can help to improve overall health and reduce employer costs, according to a new study released by Cigna. Individuals with connected medical,...

60% of Employers Fail to Address Healthcare Spending Waste

by Thomas Beaton

Sixty percent of employers don’t capitalize on opportunities to address healthcare spending waste, even though they say wasteful spending is a key concern, according to a new survey from the...

Employer Wellness Programs Reduce Costs by Targeting Chronic Diseases

by Thomas Beaton

In order to reduce overall spending, employers should focus on designing wellness programs that target chronic diseases and address other clinical factors impacting employee health, says a new research...

Proposed Rule Alters HRAs to Allow Direct Reimbursement to Employees

by Thomas Beaton

The Departments of Labor, Treasury, and HHS have proposed a new rule that would allow employers to directly reimburse employees’ care costs through health reimbursement arrangements (HRAs) as an...

Employers are Experimenting with Innovative Health Plan Designs

by Thomas Beaton

Just under half of employers participating in a survey from the National Business Group on Health (NBGH) are actively experimenting with innovative health plan designs that aim to foster new approaches...

Consumers Struggle with Health Plan Finances, Healthcare Literacy

by Thomas Beaton

The majority of consumers with employer-sponsored health plans lack the necessary financial health literacy to optimally manage their health plan finances, according to a new report from Alegeus. As...

Reference Pricing Models for Prescription Drugs May Contain Costs

by Thomas Beaton

Reference pricing models for prescription drugs may help to contain spending and reduce high costs for beneficiaries, says a new report from the Commonwealth Fund. Currently, most payers use tiered...

Employers Could See High Financial Returns for Mental Healthcare

by Thomas Beaton

More comprehensive coverage for mental healthcare could bring a financial return of four dollars for every one dollar spent by employers, says a report from the National Alliance of Healthcare...

How Employers Can Design High-Quality Cancer Care Benefits

by Thomas Beaton

Designing meaningful and high-quality cancer care benefits is a challenge for employer-sponsored health plans.   Cancer, a costly and complex condition that takes many different forms, requires...

Nearly 20% of Employees Have Inpatient Out-of-Network Claims

by Thomas Beaton

Approximately twenty percent of employees with insurance had at least one out-of-network claim for inpatient care, according to a Peterson-Kaiser Tracker analysis. Employees with out-of-network...