Skip to main content

Home/ ACA for MandM/ Group items tagged part D

Rss Feed Group items tagged

Mal Allison

Why employers are shifting retiree health into insurance exchanges | Reuters - 0 views

  • Thirty percent of companies that provide coverage to Medicare-eligible retirees (age 65 and over) already have moved to exchanges, according to an Aon Hewitt survey of more than 1,230 employers released last month.
  • For Medicare-eligible retirees, employer benefits are supplemental. Retirees who use traditional fee-for-service Medicare might be offered a Part D (prescription drug) benefit, and a subsidized Medigap plan, which plugs coverage gaps in fee-for-service Medicare. Retirees using Medicare Advantage (all-in-one managed care plans) receive a subsidy toward buying those plans.
  • oving to exchanges also can help employers avoid the looming risk of the so-called Cadillac tax on rich-benefit insurance plans.
  • ...1 more annotation...
  • hey'll need it. A 2012 study of Part D enrollment data by researchers at the University of Pittsburgh found that seniors waste hundreds of dollars annually by purchasing levels of coverage that they do not actually need. Just 5 percent picked the most cost-effective plan, and more than 30 percent overspent by $3
Mal Allison

Employers Turn to Private Health Exchanges to Cut Costs - Bloomberg - 0 views

  • One-third of U.S. employers plan to move their workers’ health-care coverage to a private exchange in the next few years, a survey found, following the le
  • Health spending in the U.S. is expected to increase more than 6 percent this year and 6.2 percent annually from 2015-2022 as the Patient Protection and Affordable Care Act takes full effect and millions of Americans gain insurance, according to the Centers for Medicare and Medicaid Services.
  • Under Obamacare, companies that don’t offer coverage for their employees will be fined $2,000 per employee. Employers spend $6,000 per employee on average, so d
  • ...3 more annotations...
  • They found that 5 percent of the companies surveyed may drop employee health-care coverage in the next three to five years, an increase from 1 percent now
  • About 38 percent of the companies surveyed by Aon said they would offer no benefits to part-time workers within the next three to five years.
  • Only 25 percent of large employers offer subsidized retiree health benefits, Aon said, down from about 50 percent in 2004.
Mal Allison

To Switch or Not to Switch: Are Medicare Beneficiaries Switching Drug Plans To Save Mon... - 0 views

  • The relatively small share of PDP enrollees who switched plans at some point between 2006 and 2010 were more likely than those who did not switch to end up in a plan that lowered their premiums.  Nearly half (46 percent) of enrollees who switched plans saw their premiums fall by at least 5 percent the following year, compared to 8 percent of those who did not switch plans.  But those who switched plans were only slightly more likely than those who did not switch to face lower out-of-pocket costs for drugs during the year
Mal Allison

Overcoming Fragmentation in Health Care - John Noseworthy - Harvard Business Review - 0 views

  • But the ACA does little to address fragmentation, quality of care, and the sustainability of the financial model for U.S. health care — ho
  • At the foundation of our approach is a knowledge-management system — an electronic archive of Mayo Clinic-vetted knowledge containing evidence-based protocols, order sets, alerts and care process models
  • It is alarming to see more than a two-fold variation in health care quality across the country.
  • ...1 more annotation...
  • One such resource is the work of Optum Labs, which we formed with Optum earlier this year. Optum Labs, an open R&D facility with a unique set of clinical and claims data, is being used to drive advances that will improve health care for patients and our country. We are now inviting others — providers, life science companies, research institutions, consumer organizations, and policy makers — to be part of Optum Labs. This opportunity to apply world-class analytical tools to both cost and quality will provide t
1 - 6 of 6
Showing 20 items per page