Substance-Abuse Benefits under Affordable Care Act

One less-touted aspect of the Affordable Care Act is that it provides employers more tools for assisting employees with substance-abuse problems to seek help. According to a study by the Substance Abuse and Mental Health Services Administration, 10% of America’s workers are dependent on one substance or another. The study also found that 3.1% have [...]

By | 2020-03-17T15:59:02-07:00 March 17th, 2020|Healthcare|0 Comments

Concerns Rise Over Letting Employers Fund HRAs for Individual Health Plans

Employers, health insurers, regulators and hospitals are all raising concerns about the Trump administration’s rules issued last year that allow employers to fund health reimbursement arrangements (HRAs) that their workers can use to purchase health plans on the open market. The Centers for Medicaid and Medicare Services, IRS and the Department of Labor issued the [...]

By | 2020-03-10T11:09:05-07:00 March 10th, 2020|Healthcare|0 Comments

More Employers Expand Mental Health Benefits

American workers are more stressed than ever, and an increasing number of people are also struggling with mental health issues. Sadly, the number of people dying from drugs, alcohol and suicide hit record levels in 2019. When someone is battling addiction or has mental health issues, it affects all aspects of their life, including work. [...]

By | 2020-02-25T12:40:35-08:00 February 25th, 2020|Healthcare|0 Comments

High-Deductible Plans Saddling Workers with Bigger Drug Outlays

A new study has found that high-deductible plans and increased use of coinsurance are exposing health plan enrollees to higher and higher pharmaceutical costs. One of the big problems for many enrollees in high-deductible plans is that their outlays for drugs may not count towards their health plan deductibles and, if they are enrolled in [...]

By | 2020-02-05T10:32:59-08:00 February 5th, 2020|Healthcare|0 Comments

Telemedicine Taking Off, Reducing Health Costs

One of the fastest growing parts of the health care system, and which touches significantly on group health plans, is telemedicine. From 2016 to 2017, insurance claims for services rendered via telehealth ― as a percentage of all medical claim lines ― grew 53% nationally, faster than any other avenue of care, according to “FH [...]

By | 2020-01-21T22:39:05-08:00 January 21st, 2020|Healthcare|0 Comments

Study Attributes 25% of Health Spending to ‘Waste’

A new study published in the Journal of the American Medical Association estimates that about 25% of all health care spending in the U.S. is attributable to waste in the system. The study, conducted by health insurer Humana and the University of Pittsburgh School of Medicine, estimated that between $760 billion to $935 billion of [...]

By | 2020-01-03T12:06:47-08:00 January 3rd, 2020|Healthcare|0 Comments

Employers Rethink HDHPs as More People Struggle with Medical Bills

A new study has found that more and more large employers are ditching high-deductible health plans as the job market tightens and they need to boost improve their health insurance offerings to retain and attract talent, and saddle their employees with less of the cost burden. The change is also in response to the increasing [...]

By | 2019-12-17T08:05:15-08:00 December 17th, 2019|Healthcare|0 Comments

Generic Drug Makers Sued over Pricing Practices

One of the country’s largest health insurers has sued a number of pharmaceutical companies, accusing them of running a price-fixing cartel of common generic drugs. Humana Inc. has accused the companies of colluding on the prices of generics to the detriment of health insurers that have to pay for these drugs. Humana said in its [...]

By | 2019-12-10T10:08:16-08:00 December 10th, 2019|Healthcare|0 Comments

Reference Pricing Can Reduce Medical Outlays, Costs

In an effort to coax health plan participants to use price-shopping behavior when deciding on where to have a procedure, more insurers are starting to roll out a system known as “reference pricing.” With reference pricing, the health insurer imposes a limit on the amount it will pay for a particular procedure – a limit [...]

By | 2019-11-26T11:49:44-08:00 November 26th, 2019|Healthcare|0 Comments

Short-term Health Plans Skimp on Medical Payments

A new report by the trade publication Modern Healthcare shows just how little short-term care plans spend on enrollees’ medical claims. The report found that some plans spent as little as 9 cents of every premium dollar they collected on medical care. The average paid out among the short-term plans analyzed in a report by the National [...]

By | 2019-10-15T12:25:39-07:00 October 15th, 2019|Healthcare|0 Comments