Healthcare IT Interoperability, EHR interoperability, Hospital Interoperability

Employer Sponsored Insurance ESI

61% of Employees Dissatisfied with Employer Wellness Programs

December 7, 2017 - Fifty-two percent of employers believe their wellness programs improve their employee’s health behaviors, but only 32 percent of employees agree, according to a new survey from Willis Towers Watson. More than 60 percent are actively dissatisfied with existing wellness offerings. US employers have a strong business case to improve the overall health of their employees, as the survey found...


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The Pros and Cons of Pharmacy Benefits Managers for Payers

by Thomas Beaton

Prescription drug spending is a billion-dollar problem for the payer industry. While pharmacy benefit managers (PBMs) are often a positive way for payers to manage prescription drug benefits for their members, savings for payers can be limited...

How Payers Can Improve the Value of Small Business Health Plans

by Thomas Beaton

Payers offering insurance plans for the employer market need to provide flexible benefits and cost-saving strategies that create value for small businesses. Small businesses are an excellent market opportunity for payers because health plans...

Employer Health Plans Can Engage Members with Data, Targeting

by Thomas Beaton

The use of data analytics and employee wellness engagement platforms may help employer health plans improve spending efficiency while producing a healthier, more productive workforce.    Employees are not always ready to take part in...

Single-Employee Businesses Experience High, Burdensome Premiums

by Thomas Beaton

Single-employee businesses paid an average of $500 per month on premiums, experienced high premium payment growth, and experienced polarizing financial burden based on their premium payment amounts, a new report from JPMorgan & Chase reveals....

44% of Employees Don’t Know Value of Health Plan Benefits

by Thomas Beaton

Employers must increase their efforts to educate members about the value of their health plan benefits based on recent findings that only 44 percent of employees fully comprehend their benefits. That is the leading takeaway from research published...

Only 30% of Employers Get Pharmacy Benefit Manager Contracts

by Thomas Beaton

Only 30 percent of employers have a complete understanding of their pharmacy benefit manager (PBM) contracts, according to a new survey from the National Pharmaceutical Council (NPC). Just 40 percent of the 88 employers participating in the survey...

Employer Insurance Enrollment, Member Engagement Stagnated in 2016

by Thomas Beaton

Growth in employer-sponsored insurance enrollment and certain measures of member engagement did not significantly increase in 2015 and 2016, according to the Medical Expenditure Panel Survey (MEPS) released by AHRQ. There was no significant change...

Healthcare Payers See Promise in Private Exchange Successes

by Jesse Migneault

Private exchanges have grown in significance as a means for payers to get their products before employers, and their growth has resulted in increasing the number of health plan options for employees and beneficiaries. Additionally, the expanded...

Employees Like Wellness Programs, But Don’t Use Them Much

by Jesse Migneault

As employers and payers move towards a more engaged preventive health environment, the use of workplace wellness programs have increased across the nation, according to results from a UnitedHealthcare Consumer Sentiment Survey. Today, nearly...

Employers See Consumer Directed Healthcare as the Future

by Jesse Migneault

With the continuing rise in healthcare costs, employers are looking to alternatives such as CDH plans to cut premium costs and increase employee's’ financial responsibility for their healthcare spending.  CDHs are an employer health...

Employer Health Plans See Spike In Out-of-Pocket Costs

by Jesse Migneault

The National Center for Health Statistics study found a double-digit increase in the use of high-deductible employer health plans has generated increased economic strain for members. Beneficiaries reported struggling to pay medical bills or delaying...

Employers Seek Clarity, Stability in Health Insurance Market

by Jesse Migneault

The nation’s largest employers are taking a second look at what type of health insurance they buy, and why.  The American Health Policy Institute (AHPI) surveyed over 400 large companies and found issues of transparency, tax credits...

Aetna to Offer New HMO Option for Delaware State Employees

by Jesse Migneault

Health insurer Aetna was recently awarded a three-year contract as a provider of Delaware’s health plan offerings for its employees and pensioners.  Aetna has chosen a coordinated care approach partnering with local innovators to move...

Data Analytics Key for Strengthening Employer-Payer Relationship

by Vera Gruessner

Health insurance companies, employers, and the workforce take a number of different steps to ensure that the best decisions are made in terms of health plan policies and covered benefits. For a variety of reasons, some businesses choose employer-sponsored...

Consumer-Driven Health Plans Reduce Medical Care Utilization

by Vera Gruessner

The Health Care Cost Institute released new findings that show consumer-driven health plans are leading individuals to utilize less medical care as well as spending more on out-of-pocket costs. Among consumer-driven health plans, enrollees spend...

Lack of Price Transparency Leading Employers to Self-Insure

by Vera Gruessner

Some employers are finding it difficult to keep contracting with their health payers due to continually increasing monthly premium costs and a general lack of price transparency across the health insurance industry. As such, the notion of a company...

Presidential Election Shakes Employer-Sponsored Health Insurance

by Vera Gruessner

Healthcare policy of US presidential candidates depends on more than their perspective on the Affordable Care Act. With employer-sponsored health insurance still a major aspect of coverage among Americans since fewer are insured through Medicaid...

Health Plan Solutions: Do Employers Choose Private Exchanges?

by Vera Gruessner

Today employers are searching for multiple solutions to meet their health plan needs in order to reduce costs and provide the optimal benefits to their employees. The multitude of healthcare regulations hitting the market today is making quite...

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