High-Deductible Health Plans

The Status of High Deductible Health Plans with Savings Option

by Kelsey Waddill

Updated 11/22/2021:  This article has been updated to correct a statistic in order to indicate that large firms on average contributed $16,132 to the employee premium and $937 to each...

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)...

Cancer Patients Paid $5.6B Out-of-Pocket Cancer Costs in 2018

by Kelsey Waddill

Cancer patients are paying higher and higher out-of-pocket costs for treatment and, according to the American Cancer Society’s recent report, payer-related costs are the most common contributor...

Employer Sponsored 2020 Out-of-Pocket Costs Were Stable Pre-COVID

by Kelsey Waddill

Employer-sponsored health plans grew more expensive for individuals and families in 2020, the Employer Health Benefits annual Kaiser Family Foundation (KFF) survey found. “Conducted partly...

Commercial High Deductible Plans May Not Impact Member Outcomes

by Kelsey Waddill

Contrary to expectations, there may not be a correlation between deductible costs and member outcomes for commercial high deductible plans, according to a study published in JAMA Open Network. The...

High Deductible Health Plan Enrollees Need Better HSA Education

by Kelsey Waddill

Although health savings accounts are an important tool for enrollees in high deductible health plans, a large percentage of enrollees in these plans either do not have health savings accounts or do not...

High Deductible Health Plans Create Cost-Related Barriers to Care

by Kelsey Waddill

High deductible health plans pose a barrier to care by increasing costs for patients and causing scheduling and financial turbulence for providers, according to a survey of providers conducted by the...

Out-of-Pocket Insulin Costs Stagnant for Commercial Members

by Kelsey Waddill

Although insulin prices more than doubled between 2006 and 2017, out-of-pocket insulin costs for commercial plan members remained fairly steady over the course of that period, even declining slightly...

IRS Creates Cafeteria Plan, HDHP Flexibilities Due to COVID-19

by Kelsey Waddill

The Internal Revenue Service (IRS) has issued guidance extending flexibilities to high deductible health plan (HDHP), employer-sponsored cafeteria plan, and flexible spending arrangement (FSA) plan...

High-Deductible Health Plans Spur Maternity Out-of-Pocket Spending

by Kelsey Waddill

The rise in high-deductible health plans due to the ACA’s lack of cost-sharing restrictions in some areas may be leading to high maternity out-of-pocket spending, researchers have...

What is Employer Activism, How Will Payers React to it in 2020?

by Kelsey Waddill

Born under the pressure of skyrocketing healthcare spending, employer activism enables employers to take control of their companies’ healthcare spending, in a way that could both strengthen and...

Employers Seek the Best Healthcare Benefits, Prefer HMOs and PPOs

by Kelsey Waddill

As more employers seek to offer the best healthcare benefits to their employees, they are focusing on quality and a diverse set of plans, which tends to lead them toward HMOs and PPOs according to a...

Rising Premiums, Deductibles Boost Urgency of Healthcare Reform

by Kelsey Waddill

The average annual growth in premium and deductible costs for workers outpaced their median income growth from 2008 to 2018, a Commonwealth Fund study discovered. “Over the last decade, employer...

High-Deductible Health Plans Are a Big Hit to Medication Adherence

by Samantha McGrail

Patients with diabetes enrolled on a high-deductible health plan have a hard time paying for their brand-name medications, having a negative impact on medication adherence, according to new data...

Why Payers Should Care About the Cadillac Tax Repeal

by Kelsey Waddill

The House of Representatives recently voted 419-6 to repeal the Cadillac tax, which would impact the payers and plans employers choose if the law is formally repealed. Under the authority of the...

Driven by Prices, Medical Cost Trend Increases 6%

by Kelsey Waddill

PwC’s Health Research Institute (HRI) predicted a six percent increase in medical cost trend in 2020, with a five percent net growth rate after adjusting for increased employee cost sharing or...

Executive Order to Aid Employee Access to Individual Health Plans

by Kyle Murphy, PhD

The Trump Administration issued an executive order that will allow employers to help employees pay for health insurance via health reimbursement arrangements. As part of individual coverage health...

Workers Face High Premiums for Employer-Sponsored Health Plans

by Sara Heath

Workers enrolled in employer-sponsored health plans are paying an extraordinary amount for their health insurance, specifically through relatively high premiums and out-of-pocket costs, according to a...