Employer Sponsored Insurance ESI News and Resources for Healthcare

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

August 14, 2018 - 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 provider bills may experience increased stress due to the cost of healthcare because they are largely responsible for out-of-network costs. In 2016, 15.5 percent of all inpatient admissions...

About 90% of Large, Mid-Size Employers Offer Medical Benefits

July 24, 2018 by Thomas Beaton

Close to 90 percent of employees in large and mid-size private businesses are offered medical benefits, according to data released by the Bureau of Labor Statistics. Larger businesses tend to see higher participation in employer-sponsored...

Pros and Cons of Small Business Health Options Program Health Plans

July 19, 2018 by Thomas Beaton

Health plans offered through the Small Business Health Options Program (SHOP) exchanges allow payers to provide the nation’s smallest businesses with affordable plan options that offer critical health benefits. SHOP health plans...

High Dollar Claims Rise by 87% in Employer-Sponsored Stop-Loss Insurance

July 17, 2018 by Thomas Beaton

The number of employer-sponsored stop-loss insurance claims of $1 million or more grew by 87 percent from 2014 to 2017, according to a new analysis from Sun Life Financial. Over the four-year period, 634 employees with $1 million claims...

Health Plan Cost Sharing, Deductibles Outpace Members’ Wage Growth

July 12, 2018 by Thomas Beaton

Health plan cost sharing and deductible spending have outpaced employee wage growth in the last ten years, according to data released by the Peterson-Kaiser Health System Tracker. Employees’ total financial responsibility increased...

Partners HealthCare to Self-Insure 100K Employees

June 27, 2018 by Thomas Beaton

Partners HealthCare has announced it will self-insure 100,000 of its employees, transitioning coverage from BlueCross BlueShield of Massachusetts to its own Neighborhood Health Plan, according to The Boston Globe. “Neighborhood...

AHIP, BCBSA, AMA Join to Improve Public, Private Payer Ecosystem

June 13, 2018 by Thomas Beaton

The Partnership for America’s Health Care Future (PAHCF), a newly formed coalition, consisting of leading healthcare provider societies and payer organizations, has committed to strengthening the nation’s private and public...

Short-Term Wellness Interventions Improve Employee Well-Being

May 30, 2018 by Thomas Beaton

Short-term wellness interventions can improve employee well-being and may help employers reduce their overall costs while maintaining employee health and productivity, according to a new study published in the American Journal of Health...

Pros and Cons of High Cost Sharing for Employer Health Plans

May 23, 2018 by Thomas Beaton

Employer-sponsored health plans that include high cost sharing expectations can help control spending for plan sponsors, but could create longer-term health risks for employee beneficiaries. Striking the right balance between...

86% of Employers Use Financial Incentives in Wellness Programs

May 07, 2018 by Thomas Beaton

Eighty-six percent of employers offer financial incentives in their wellness programs, according to a new survey from the National Business Group on Health (NBGH) and Fidelity Investments. This represents an 11 percent increase since...

Supplemental Insurance is a Value-Add Opportunity for Employers

May 04, 2018 by Thomas Beaton

Employers may have a prime opportunity to add value to their health plan options by offering supplemental insurance, according to a recent AHIP survey. The survey found that 95 percent of employees are satisfied with supplemental plan...

64% of Employees Say Financial Incentives Boost Member Engagement

May 02, 2018 by Thomas Beaton

Sixty-four percent of employees that participated in a new survey said financial incentives helped connect them to necessary healthcare resources and equip them for improved member engagement. The Clear Insights Survey fielded by Wex...

Medicare Advantage, Premium Revenues Drive Q1 Payer Profits

April 30, 2018 by Thomas Beaton

Healthcare payers experienced strong first quarter profits in 2018 because of sharp growth in Medicare Advantage (MA) enrollment and premium revenues, according to newly released earnings statements. The reports confirm the stability and...

JP Morgan: Value-Based Care Will Guide Amazon, Berkshire Work

April 09, 2018 by Thomas Beaton

Amazon, JP Morgan, and Berkshire Hathaway will build their new company upon best practices in value-based care, including improving preventive care and managing member costs through data sharing, said JP Morgan Chase & Co. CEO Jamie...

Regional Differences Seen in High-Deductible Health Plan Volume

April 06, 2018 by Thomas Beaton

Regional differences in high-deductible health plan (HDHP) volume and other health plan offerings may help employers adjust insurance offerings in ways that are more valuable to their employees, according to a new report from...

Policy, Market Changes May Harm Employer-Sponsored Insurance

March 27, 2018 by Thomas Beaton

Significant changes to the employer-sponsored insurance market, such as increasing medical costs, policy changes, and improvements in other payer markets may cause employers to stop providing health insurance An analysis from the American...

Member Engagement is Key for High-Deductible Health Plan Success

March 21, 2018 by Thomas Beaton

Payers and employers who offer high-deductible health plans (HDHPs) to attract low-cost members may need member engagement strategies to generate higher value for these beneficiaries. Member engagement is critical for HDHP success because...

Tavenner Steps Down from AHIP, Hands Leadership to Matt Eyles

March 14, 2018 by Thomas Beaton

The AHIP Board of Directors has appointed Matt Eyles as the organization’s new President and CEO to replace Marilyn Tavenner after she retires on June 1st, 2018. Eyles was elected unanimously as Tavenner’s...

Apple to Launch Healthcare, Wellness Clinics for Employees

February 27, 2018 by Thomas Beaton

Apple is launching a new healthcare venture, called AC Wellness, that will deliver healthcare and wellness services to the company’s employees, according to major news outlets. The health and wellness clinics will primarily serve...

Employers, Employees Face Disconnect Over Wellness Programming

February 22, 2018 by Thomas Beaton

More than half of employers believe that their wellness programming is effective for improving health and reducing spending, but only a third of their employees think the same thing, according to a new Willis Watson Towers...

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