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ACA Impact on Employer Plans, Challenges Facing Public Exchanges, and Premium Increases in 2017.

Posted by Susan Donegan on Fri, Jun 03, 2016

ACA is beginning to have an impact on employer plans. Both employers and employees have changed their behavior in response to the ACA, research shows these changes are directly related to cost. (Employee Benefit Adviser, 5/31/16)

25% ... of Medicare Advantage enrollment would reside in the combined firm formed by Aetna Inc.'s planned purchase of Humana Inc., if no divestitures are required, according to a new report from the Kaiser Family Foundation. (AIS Health Business Daily, 5/30/16, From MEDICARE ADVANTAGE NEWS)

One of the biggest challenges facing the public exchange system according to Dr. Jonathan Gruber, Ford Professor of Economics at Massachusetts Institute of Technology, is “adverse selection,” a phenomenon that occurs when healthy people switch to more affordable insurance plans when their premiums rise, while those with more serious or persistent health issues remain on the richer plans. As a result, the members who remain on the richer plan experience exorbitant premium hikes in order to offset the unhealthier group’s rising medical costs. (Northwestern Kellogg MacEachern Symposium. 5/27/16)

Employers are searching for solutions to meet their health plan needs, reduce costs and provide the optimal benefits to their employees. Healthcare regulations are making quite an impact on employers when it comes to picking the right health plan solutions, especially when it comes to the employer mandate and the Cadillac Tax. Employers are searching for options that would reduce their overall spend. (HealthPayer Intelligence, 5/27/16)

Losses during the first few years of the ACA are driving some health plans to seek substantial premium increases in 2017 for individual plans sold through the exchanges of more than a dozen states, according to The Wall Street Journal. The proposed increases made public so far illustrate how insurers are responding to the ways the ACA has changed how healthcare coverage is priced and sold in the U.S., according to the report. (Becker’s Hospital Review, 5/26/16)

Nearly 25% ... of the people who purchased 2015 health coverage through a public exchange stopped paying their premiums at some point during the year, yet most repurchased an exchange plan for 2016, according to a McKinsey & Co. report. (AIS Health Business Daily, 5/24/16, Click here to read the INSIDE HEALTH INSURANCE EXCHANGES E-ALERT in which this datapoint appeared. Free for HEX subscribers; $17 for non-subscriber)

Tags: healthcare benefits, ACA, healthcare exchanges, HIX, Employer Plans





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