Rising Enrollment, Higher Costs Spur Medicare Spending Growth
Rising Medicare enrollment and higher healthcare costs have contributed to significant growth in Medicare spending over the last two decades, according to data from KFF. Medicare provides health...5 Chronic Diseases Plague High Spending Group Health Plan Members
Group health insurance plan members with high healthcare spending often have one or more of the same five chronic diseases, according to a fast facts sheet from the EBRI Center for Research on Health...KFF: Payers Will Issue $1.1B in Medical Loss Ratio Rebates in 2023
Payers will issue around $1.1 billion in medical loss ratio (MLR) rebates across commercial markets in 2023, KFF projected. In the individual and small group markets, payers must spend at least...Report: Public Insurance Option Would Not Exacerbate Racial Disparities
Implementing a public insurance option would not significantly impact hospital spending, nor would it exacerbate racial disparities in care access for Black and Hispanic populations, an Urban Institute...Higher Market Share Helps Payers in Negotiations, Premium Impact Unclear
Payers with larger market shares tend to have lower prices nationally, a study published in Health Affairs confirmed. The researchers used data from Turquoise Health, a company that collects hospital...Medicare Advantage, Part D Premiums Increased Slightly in 2023
Average monthly premiums for Medicare Advantage and Part D plans have increased in 2023, and fewer beneficiaries selected zero-dollar premium plans, a report from eHealth, Inc. found. eHealth’s...AHIP Marketing Campaign Targets Pharma’s Prescription Drug Pricing
AHIP has launched a marketing campaign targeting pharmaceutical companies and the role of prescription drug pricing in healthcare spending. “Let’s be clear, Big Pharma continues to...Adjusting Medicare Drug Price Negotiation Criteria May Increase Savings
Adjusting eligibility criteria for Medicare prescription drug price negotiation under the Inflation Reduction Act to include drugs with biosimilars and allow for drug selection based on net spending...Sponsored Article
How a Consolidated Payments Platform Positively Impacts Payers
Healthcare payers and third-party administrators are facing increasing challenges with complex and outdated technology infrastructures while keeping pace in a competitive marketplace. Technology...Employees Turn to Health Savings Accounts to Manage Healthcare Costs
Employees—particularly in younger generations—are investing in health savings accounts to manage their healthcare spending and find their employer-sponsored health plans are not enough to...Vertical Integration Raises Spending for Medicare Advantage Plans
Owning related businesses was associated with higher healthcare expenditures for Medicare Advantage plans, pointing to some of the consequences of vertical integration, a report from the USC-Brookings...How Overall, Out-of-Pocket Costs of Obesity Escalated in 10 Years
Obesity was linked to higher healthcare spending and higher out-of-pocket costs for individuals in employer-sponsored health plans, according to a Peterson-Kaiser Family Foundation (KFF) Health System...MA Beneficiaries Satisfied With Coverage but Face Financial Barriers
Medicare Advantage beneficiaries face more financial barriers than Medicare Supplement beneficiaries, but plan satisfaction is high for both groups, an eHealth report found. The report reflects survey...Sponsored Article