Headlines about "Health plans - consumer-driven"

Gathered from the web by the editors at BenefitsLink.com.
Characteristics of the Population with Consumer Driven and High Deductible Health Plans, 2005-2013
"The population of adults within consumer-driven (CDHPs), high-deductible (HDHP) and traditional health plans was split about 50-50 between men and women in 2013. The CDHP population was more likely than traditional-plan enrollees to be in households with $150,000 or more in income in every year except 2006, 2009 and 2010. They were also more likely to be in households with $100,000-$149,999 in income in most years. CDHP enrollees were roughly twice as likely as individuals with traditional coverage to have college or post-graduate educations in nearly all years of the survey." (Employee Benefit Research Institute [EBRI])

Health Insurance Information Frictions, Plan Choice, and Consumer Welfare
"[C]onsumers lack information on many important dimensions that they are typically assumed to understand, perceive high plan hassle costs, and make choices that depend on these frictions.... [I]ncorporating measures of these frictions leads to meaningful reductions in estimated consumer risk aversion.... [The authors] assess the welfare impact of a counterfactual menu design and find that the welfare loss from risk exposure when additional frictions are not taken into account is more than double that when they are[.]" (National Bureau of Economic Research [NBER])

Caps on Payments for Specific Healthcare Procedures Help Employers Cut Costs
"As companies seek ways to curb health-care spending, insurer WellPoint Inc. is rolling out a program that lets employers pay only a set amount for a medical service, asking workers who select costlier care to pay the difference.... [B]roader availability of the per-procedure pricing setups, if they work smoothly, may spark more widespread adoption by employers. A survey of large and midsize employers ... found that 8% were using the approach. However, nearly two-thirds were considering the model for the future." (The Wall Street Journal; subscription may be required)

With High Deductible Health Plans, It Pays To Shop Around For Care
"Proponents of high-deductible plans say consumers will make more cost-conscious health care choices if they have to spend more of their own money. According to [one] analysis ... consumers in such plans cut their medical spending by between 5 and 14 percent. But results were mixed on whether they cut back only on unnecessary care or on treatment that was needed." (Kaiser Health News)

More Than Half of Population Not Wedded to a Particular Doctor
"[W]hile a substantial minority of the population will in fact want to be certain that their physician participates in a health plan before selecting that plan, a surprising majority considers this an open question. Nearly twenty-four percent of the respondents report that they do not have a regular doctor, while an additional thirty-four percent would switch in order to receive premium savings. Over half of the latter group would do so for the lowest savings amount presented by the survey, $500 to $1,000 annually." (HealthPocket)

Survey Results: American Workers on Uphill Road with Consumer-Driven Health Care (PDF)
"Nearly three-quarters (72 percent) of the workforce have not heard of the phrase 'consumer-driven health care'; More than half (54 percent) of workers would prefer not to have greater control over their insurance options because they don't have the time or knowledge to effectively manage it; 62 percent of workers believe the medical costs they will be responsible for will increase, while only 23 percent are saving money for potential increases; 75 percent of workers said they think their employer would educate them about changes to their health care coverage as a result of reform, but only 13 percent of employers said educating employees about health care reform was important to their organization." (Aflac)

[Opinion] The Myth of the Smarter Healthcare Consumer
"[T]he notion that access to prices alone will enable consumers to choose suitable coverage makes two big assumptions about consumers: (1) that they are in a position to accurately identify and predict their healthcare needs; and (2) that they won�t be inclined to value the short term (i.e., more money in their pocket each month due to lower health insurance premiums for higher deductible plans) over the long term (i.e., access to health care treatment they can actually afford when they most need it). The stark reality is that both of these assumptions are wrong." (The Health Care Blog)

Making the Financial Case for Changing to a Consumer-Driven Health Plan (PDF)
"[A] case study says that employers should consider abandoning a traditional preferred provider organization in favor of a consumer-driven health plan. The study finds that 91% of employees with families and 65% of employees overall would have spent less under a CDHP." (Change Healthcare)

Empowering Individuals to Be Better Health Care Consumers
"Today, [consumer-directed healthcare] is one important part of the consumer equation, but evolving market forces, including the blurring of lines between payers and providers (e.g., payers vertically integrating with providers; and providers taking on risk and becoming more like payers), are further complicating the landscape by redefining who the consumer engages with as he or she navigates the healthcare system." (Triple Tree; free registration required to download full report)

Properly Designed CDHP Plans Improve Total Medical Cost Without Compromising Care or Shifting Costs
"According to [a recent] study, when compared to customers in traditional PPO and HMO plans, those in a CDHP: Lowered their health risks ... Reduced total medical costs ... [Were] more engaged in health improvement ... Were more likely to compare cost and quality ... Were more savvy consumers of health care ... Received higher levels of care:" (InsuranceNewsNet.com)

Survey Finds Continued Slow Growth in Consumer-Driven Health Plans
"[T]he most important take away by far is that people are doing exactly what we predicted they would do. They are paying more attention to the cost of the services they consume on every one of nine measures. For example, 53% of CDHP enrollees requested a generic drug instead of a name-brand, while only 41% of traditional plan enrollees did." (John Goodman's Health Policy Blog)

2012 Deloitte Survey of Health Care Consumerism
"Conducted annually since 2008, Deloitte�s longitudinal study of heath care consumers seeks to provide a comprehensive view of health care consumerism, a view that goes beyond the conventional boundaries of what health and health care are commonly thought to encompass.... This report provides data-driven insights gleaned from the Deloitte 2012 Survey of U.S. Health Care Consumers as well as a look back at five years of findings that point to untapped potential for increased health care industry engagement with consumers and, with that, new challenges and opportunities for providers, health plans, employers, and government." (Deloitte)

Who Knew? Patients' Share of Health Spending Is Shrinking
"Consumer-driven medical spending may be the second-biggest story in health care, after the [ACA]. As employers give workers more 'skin in the game' through higher costs from purse and paycheck, the thinking goes, they'll seek more efficient treatment and hold down overall spending. ... Despite rapid growth in high-deductible health plans and rising employee contributions for insurance premiums, consumers' share of national health spending continued to fall in 2011, slipping to its lowest level in decades." (Kaiser Health News)

Consumer Discretionary Health Care Spending: Analysis of Direct and Indirect Out-Of-Pocket Costs to Consumers
"In 2010, total U.S. health-related expenditures were an estimated $3.2 trillion or 23.9 percent higher than reported in the National Health Expenditure Accounts (NHEA). This translates to $10,392 per person. An additional $621 billion in direct and indirect costs was estimated for goods and services above what is captured in NHEA accounting. Of this additional amount, $492 billion (79 percent) is the imputed value of unpaid supervisory care given to individuals by family or friends." (Deloitte Center for Health Solutions)

Consumers May Draw Wrong Conclusions from Medical Prices
"[A] new study ... suggests that consumers' perceptions of prices could lead them to the wrong conclusions. At a low price, something like a flu shot signals 'great communal benefit -- an item that is accessible because people need it to be healthy,' the authors said. 'Conversely, high prices signal reduced accessibility and hence less need.' That kind of thinking can lead to bad, possibly dangerous, health decisions if consumers decide there's less risk in foregoing higher-priced health products and services." (Kaiser Health News)

[Opinion] Obamacare Threatens Health Care Cost Containment
"Employers' health benefit cost growth had the smallest increase in 15 years -- only 4.1 percent in 2012 compared to 6.1 percent in 2011 ... The lower-than-usual increase in costs is attributed, in part, to increased usage of consumer-directed health plans (CDHP).... It will be difficult for CDHPs to meet the MLR requirement, because they have lower premiums, which reduces their total revenue.... Obamacare's hindrance of these plans comes in the face of their growing popularity and cost containment." (The Heritage Foundation)

Recent Studies Address Consumer-Directed Health Plans
Includes summary and links to various studies, including a Blue Cross Blue Shield survey, a survey of employers in Michigan, a study by the Robert Wood Johnson Foundation, and an op-ed article about Indiana's HSA program. (John Goodman's Health Policy Blog)

Employers Cautious Toward Exchanges, Embrace CDHPs
"In preparation for the 40 percent excise tax on high cost 'Cadillac' plans scheduled to take effect in 2018, 31 percent of employers indicated that they plan to reduce their benefits in 2014-2016, with 41 percent responding they will do so for 2017-2018. For the next few years, there is little indication that employers plan to drop health care coverage and give employees money to buy health care coverage elsewhere. Only 9 percent of employers indicated that they planned to participate in state health insurance exchanges when they begin in 2014-2016." (Society for Human Resource Management)

Open Enrollment Tips for Employees
"[B]enefits offered to employees next year may be impacted by a number of factors, including rising health care costs, the declining health of the population, and phase-in of provisions under the [ACA].... 55 percent of employees default to their current benefit coverage for the coming year, instead of actively reassessing their plan options. Employers should remind workers that the old selection may not be the best option." (Wolters Kluwer Law & Business)

Defined Contribution Healthcare Benefits: A Win for Brokers, Employers and Employees
"[F]or Brokers: New Solution for Companies Without Group Health Insurance.... Increased Individual Health Insurance Sales.... Increased Voluntary Healthcare Sales.... [F]or Employers: Fixed Liability.... Plan Design.... Easy Administration.... [F]or Employees: Lower Monthly Premium.... More Choice.... Portability." (Zane Benefits)

Turning Consumers Into Shoppers: Using High-Deductible Plans Wisely
"[A recent] analysis found that during the first year following enrollment, members of HDHPs had fewer hospitalizations than patients enrolled in traditional plans. They also had fewer episodes of care, fewer visits to specialists, and lower use of brand-name drugs -- all of which reduced overall costs. However, there also was one troubling finding: Those in HDHPs cut back on preventive services along with other services." (Health Affairs Blog)

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Consumer-Driven Health Plans Overtake HMOs
"[M]ore than a quarter of companies say they may take a defined-contribution approach to healthcare within the next few years by giving employees a set amount of money to buy insurance on a private healthcare exchange. Fifty-eight percent of the companies [recently] surveyed ... offered some type of consumer-driven health plan (CDHP) last year, up from 41% the previous year, while just 38% offered an HMO, down from 41%. Preferred provider organizations (PPOs) are still more common than either CDHPs or HMOS and were offered by 79% of employers." (Treasury & Risk)

Choosing Health Insurance Tougher Than Parenting Decisions
"Why are people so intimidated? ... 88 percent of those interviewed said the available information is confusing and complicated. 84 percent complained that health plans provide conflicting details. 83 percent said that, in the end, it can be too hard determining which plan is best for them." (FoxBusiness.com)

[Opinion] Comments on Move by Large Self-Insured Employers to Defined Contribution Health Plans
"It is likely that the initial defined contributions will be fairly close to the amounts that employers are currently paying for the health benefit programs, so the immediate impact will not be transparent. Only after many employees face bankrupting medical debt --- a phenomenon that will increase as the employer contribution buys ever less insurance - will the implications be clear. It is tragic ..." (Physicians for a National Health Program)

CDHPs Second Most Common Plan Design Offered By Employers
"Consumer-driven health plans (CDHPs) have surpassed health maintenance organizations (HMOs) to become the second most common plan design offered by U.S. employers ... [I]in 2011, 58 percent of employers offered a CDHP and 38 percent offered an HMO. Preferred provider organizations (PPOs) continue to be the most widely offered plans, with 79 percent of employers offering these plans in 2011." (Wolters Kluwer Law & Business)

Is Consumer-Directed Coverage a Healthy Choice?
"According to [a recent] survey ... [low-premium, high-deductible] plans were offered by 58% of employers in 2011, up from 41% in 2010. Separately, 19% of large employers [in a second survey] said consumer-directed plans would be the only option they offered for 2013.... For healthy people who are able to manage their expenses, consumer-directed plans can result in real savings. But those with chronic diseases or with a serious risk of injury face the prospect of much higher out-of-pocket costs." (MarketWatch.com)

Prevalence of Consumer-Driven Health Plans Is Growing
"Consumer-driven health plans (CDHPs) have surpassed health maintenance organizations (HMOs) to become the second most common plan design offered by U.S. employers ... [A recent] survey of nearly 2,000 U.S. employers representing over 20 million U.S. employees and their dependents found in 2011 that 58 percent of employers offered a CDHP and 38 percent offered HMO plans. Preferred provider organizations (PPOs) continue to be the most widely offered plans, with 79 percent of employers offering these plans in 2011." (Aon Hewitt)

[Opinion] Solutions for CalPERS Health Insurance Rate Hikes
"The California Public Employees' Retirement System recently raised health insurance premiums for nearly 1.3 million workers and retirees an average of 9.6 percent for 2013, more than three times the rate of general inflation over the past year. The rate hikes include 8.7 percent increases for basic health maintenance organization coverage and 13.9 percent increases for basic preferred provider organization (PPO) plans.... CalPERS says it has introduced a number of initiatives in recent years to help stabilize rates, but none of these initiatives has included the one strategy proven to 'bend the cost curve' down -- consumer-driven health plans." (Orange County Register)

Patient Choice an Increasingly Important Factor in the Age of the 'Health Care Consumer'
"Among the 84% of Americans who visited a doctor's office within the past year, nearly half (47%) reported being very satisfied with their last medical visit; an additional 36% described themselves as somewhat satisfied. Medical visit satisfaction appears to rise with both age and education: very satisfied ratings range from 35% among Echo Boomers (ages 18-35) to 56% among Matures (ages 67+), and from 44% among those with a high school education or less to 52% among those with post graduate education." (Harris Interactive)

Satisfaction Levels Up for CDHPs, Down for Traditional Plans
"Satisfaction levels are rising among Americans enrolled in consumer-driven health plans (CDHPs), while they are declining among those in traditional health plans, according to a new report by the nonprofit Employee Benefit Research Institute (EBRI). In particular, satisfaction rates for out-of-pocket costs appear to be trending downward among those with traditional coverage and upward for those with consumer-driven plans, according to the report." (Society for Human Resource Management)

Essential Tactics for CO-OP Prosperity (PDF)
"Even before the first member is enrolled, consumer operated and oriented plans (CO-OPs) will invest thousands of hours in developing the operational infrastructure that will provide healthcare coverage for their members. Conventional approaches to managing cost such as contract negotiations with network providers for competitive unit costs and implementing medical management models to curb excessive utilization are important starting points for controlling the cost of claims. However, recent changes to the nation's healthcare system have created a few additional items for CO-OPs to consider as they prepare for October 2013 and enrolling their first members." (Healthcare Town Hall)

The Emergence of Private Health Insurance Exchanges Fueling the 'Consumerization' of Employer-Sponsored Health Insurance (PDF)
"Health insurance in the U.S. is at the cusp of a major transition from an employer-driven payor model to a model directly involving many more employees and consumers. Private health insurance exchanges with a defined contribution approach represent a significant step toward catalyzing this change.... [This paper considers] the impact of this change on the payor industry and the strategic approach that leading companies need to take." (Booz & Company)

Satisfaction With Health Coverage and Care
"Satisfaction levels have been trending up among [Consumer Directed Health Plan (CDHP)] enrollees, and trending down among traditional-plan enrollees.... Individuals in [CDHPs] and high-deductible health plans were less likely than those in traditional plans both to recommend their health plan or to stay with their current plan, if they had the opportunity to switch. Dissatisfaction with out-of-pocket costs may be driving overall satisfaction trends." (EBRI)

How Do Consumer-Directed Health Care Plans Affect Medical Care? (PDF)
"From 2006 to 2011, researchers ... conducted the first-ever large-scale, multiemployer study of the effect of consumer-directed health care plans on medical care.... The study assessed: The effects of such plans on their users' access to, cost and utilization of health care The plans' particular impact -- if any -- on vulnerable populations (defined for the study as lower-income and chronically ill people) Future national impact of widespread use of such plans." (Robert Wood Johnson Foundation)

How Do Consumer-Directed Health Care Plans Affect Medical Care?
"Key Findings: Families enrolling in consumer-directed health plans for the first time in 2005 spent 14 percent less than similar families enrolled in conventional plans. The benefit designs of consumer-directed health plans almost always affected vulnerable populations to the same extent as nonvulnerable populations. If the percentage of the nonelderly population who are enrolled through their employer in a consumer-directed health plan were to increase immediately from 12.4 percent to 50 percent, the savings in personal health care expenditures nationally -- over a 10 year period -- would total $57.1 billion." (Robert Wood Johnson Foundation)

Provider Networks, Premiums Key Factors in Health Plan Choice (PDF)
"When given a choice, most individuals with traditional health coverage say they chose that option because it offered a good network of providers ... In contrast, among those with so-called consumer-driven health plans, most cited the lower premiums and opportunity to save money in a health account. While close to half of all private-sector workers who have health insurance are offered a choice of health plans, most of those with a choice work for large firms[.]" (EBRI)

Association Between Personal Health Record Enrollment and Patient Loyalty
"Among American healthcare consumers, considerable interest exists in integrated personal health records (PHRs). Across several consumer-focused surveys, 76% to 86% of respondents expressed interest in having Internet access to their health information, yet far fewer -- 7% -- had experience doing so. In a national survey, the majority of respondents reported the belief that online access to health information would have personal benefits that would improve the quality of healthcare. People pay more attention to and become more engaged in their health and medical care when they have easy online access to their health information" (American Journal of Managed Care)

[Opinion] Consumer-Directed Health Plans: Reducing Costs and Maintaining Quality
"Over the past decade, the use of consumer-directed health plans (CDHPs) has increased substantially. In 2006, Indiana introduced plans with health savings accounts as a coverage option for state employees. A case study ... examined the outcome of Indiana's implementation and found generous cost savings and increasing annual enrollment. Another study ... found that greater use of CDHPs that use HSAs or HRAs could result in annual savings as high as $57 billion in the overall health care system." (The Heritage Foundation)

The Medical Home Bends the Cost Curve (PDF)
"While the Affordable Care Act is trying to manage health insurance, as well as mandating coverage, a number of projects around the country are trying to manage the underlying cost of health care. By bringing back the concept of a true primary care physician, who provides 90% of your care and coordinates with your specialists, these programs are bending the curve of health care cost trends. Most are seeing a reduction in emergency room visits and hospital days in the double digits." (International Society of Certified Employee Benefit Specialists)

Deloitte's 2012 U.S. Survey of Health Care Consumers
Click on the Download button on the linked web page. "Since 2008, the Deloitte Center for Health Solutions has annually polled up to 4,000 U.S. adult consumers about their interest in and ability to operate in a consumer health care market. These surveys queried adults in various age, health status, income, and insurance cohorts to gauge the degree to which consumers are prepared to engage with the health care system as 'patients' or 'consumers.' The distinctions between the two are stark; the implications are transformative -- not only to the health care industry, but to every U.S. household, company, and government agency." (Deloitte Center for Health Solutions)

Consumer-Driven Health Care Plans Can Help Consumers Reduce Health Care Spending
"Key results from the study indicate that, following migration from a traditional non-CDHP [Consumer-Driven Health Care Plan] to a CDHP, on average, the CDHP members studied ... reduced health care utilization by an aggregate of more than 12 percent ... spent 24 percent less on inpatient hospital services and eight percent less on outpatient services ... [and] reduced combined medical and pharmacy spend by an aggregate of 11 percent. In addition, data showed that employers who offered only a CDHP saw even greater spend reductions -- up to an aggregate of 14.4% over the three years following migration from a traditional plan to a CDHP." (Health Care Service corporation)

U.S. Healthcare Costs Expected to Rise 7.5% in 2013
"The projected growth rate of 7.5% for overall healthcare costs contrasts with expectations for growth of 2.4% in U.S. gross domestic product and a 2.0% rise in consumer prices during 2013 ... Healthcare costs have long been known to outstrip economic growth and inflation rates ... But PwC's Health Research Institute ... said data for the past three years suggest an extended slowdown in healthcare inflation from earlier decades when annual costs rose by double-digits." (Reuters via FoxBusiness.com)

Enrollment in Consumer-Directed Health Plans Grew by 18 Percent in 2011
"Thirteen percent of all employees with employer-sponsored plans chose CDHPs [Consumer-Directed Health Plans] in 2011 -- showing an enrollment growth that no other type of insurance plan saw that year. This trend corresponds with a slight, but steady decline in HMOs over that same period. Last year's increase continues a steady growth trend that started in 2008 (7 percent) and continued through 2010 (11 percent). Survey results show that the trend is likely to continue in the near future as well, with 48 percent of employers of all sizes expecting to offer a CDHP in the next 5 years." (American Association of Preferred Provider Organizations (AAPPO))

[Guidance Overview] How Do Non-Calendar Year Cafeteria Plans Comply With the $2,500 Health FSA Limit?
"Effective Jan. 1, 2013, health care reform imposes a new $2,500 limit on annual contributions to a health care flexible spending arrangement ('Health FSA'). However, it is unclear whether the $2,500 limit applies on a plan year or calendar year basis. This creates potential compliance issues beginning in 2012 for non-calendar year cafeteria plans." (Davis Wright Tremaine LLP)

Consumer-Directed Health Plans Shown to Be Money-Savers
"A large study of the medical spending patterns of consumer-directed health plan enrollees, published in the May Health Affairs, found that CDHP enrollees did indeed spend less on care, saving them and their employers money. But the declines were not restricted to unnecessary and redundant tests. The drop also was due to fewer preventive tests and screenings." (American Medical Association)

[Guidance Overview] Whether or Not Constitutional, ACA Is Creating Turbulent Times for HSAs and HRAs (PDF)
At page 4. "Health savings accounts (HSAs) avoid many of the regulatory requirements under the ACA because they are not generally considered to be health plan coverage. By way of direct regulation, the ACA did increase the penalty for using HSA funds for non-medical purposes to a 20 percent excise tax (plus applicable income taxes) and requires a prescription for OTC drugs. More dramatically, however, is the potential for collateral damage to HSA viability as a result of ACA's regulation of the underlying high deductible health plan (HDHP) coverage, especially in the fully insured market. Some of this concern has been allayed recently when the agencies indicated that a portion of an employer's contribution (but not salary reductions) to an HSA could count toward the actuarial valuation requirements for the underlying HDHP plans." (Employers Council on Flexible Compensation)

[Guidance Overview] IRS Announcement of 2013 HSA Contribution Limits and HDHP Minimum Deductibles and Out-of-Pocket Maximums
"Although all of the inflation-adjusted amounts will increase for 2013, the increases within each category (i.e., self-only or family) are not identical. This has some practical consequences. For example, some individuals may have to pay more out-of-pocket expenses in 2013 without the benefit of the HSA tax break, because the increase in the HSA contribution limit is not keeping pace with the increase in the out-of-pocket maximum. In addition, the greater difference in 2013 between the minimum required deductibles and the out-of-pocket maximums ($5,000 for self-only coverage and $10,000 for family coverage) will allow plan sponsors a wider range of potential deductibles because, at least before 2014, HDHP deductibles can be set as high as the out-of-pocket maximum for that coverage." (Thomson Reuters/EBIA)

$57 Billion in Annual Health Care Savings Possible If Consumer-Directed Health Plans Were 50% of All Employer-Sponsored Insurance
"Enrollment is increasing in consumer-directed health insurance plans, which feature high deductibles and a personal health care savings account. [The authors] project that an increase in market share of these plans -- from the current level of 13 percent of employer-sponsored insurance to 50 percent -- could reduce annual health care spending.... That decrease would be the equivalent of a 4 percent decline in total health care spending for the nonelderly." (Health Affairs)

[Guidance Overview] Considerations for Employers Having Both an HSA Program and Health Flexible Spending Accounts
"Special considerations apply if you currently offer health flexible spending accounts ('health FSAs') that allow up to an extra 2-1/2 months after the end of the plan year in which participants can spend their money (known as a 'grace period'). If you are considering offering an HSA in 2013, you may want to take steps now to inform your employees who currently participate in your health FSA (or the health FSA of their spouse, if the employee is eligible to be reimbursed under that FSA), that if the health FSA contains a grace period, they need to have spent all of the money in their health FSA (even if they have not yet submitted the claim or been reimbursed) on or before December 31, 2012 if they want to qualify for an HSA for the entire 2013 taxable year." (McKenna Long & Aldridge LLP)

Characteristics of the Population with Consumer-Driven and High-Deductible Health Plans, 2005-2011 (PDF)
"Generally, the population of adults within high-deductible health plans (HDHPs) and traditional health plans is split 50-50 by gender. In contrast, consumer-driven health plan (CDHP) enrollees were more likely to be female in 2010 and 2011. CDHP enrollees were roughly twice as likely as individuals with traditional coverage to have a college or post-graduate education. HDHP enrollees were also more likely than traditional-plan enrollees to have a college or graduate degree." (Employee Benefit Research Institute)

Enrollment in Health Savings Accounts Increasing Dramatically
"Enrollment in these specialized tax-deductible, tax-free accounts has exploded: In March 2005 there were slightly more than 1 million accounts; a year ago there were 11.4 million, according to America's Health Insurance Plans, a trade group. Since then, the growth has been exponential, with Fidelity Investments saying its HSA business grew 61 percent in a year." (Reuters)

[Opinion] Consumer-Driven Health Care's Fatal Flaw: Non-Transparent Prices
"The possibility that the Supreme Court will strike down all or part of the Affordable Care Act has given new life to Republican calls to put market mechanisms to work in holding down health care costs. The public is certain to hear lots more about it on the campaign trail later this year. There's one big problem, though. Markets cannot work when consumers and patients have almost no information about the prices they pay for health care." (The Health Care Blog)

Health Exchanges Already Offering Large Companies Cost Control
"While state insurance exchanges are mandated by healthcare reform to be up and running by 2014, some private health insurance exchanges that target corporations are already doing business, suggesting that healthcare benefits may follow retirement benefits' shift to a defined-contribution model." (Treasury & Risk)

Nearly Half of All Employer Plans Have Zero In-Network Deductibles
"[The 2012 Medical Plan Trends Report] revealed that the difference between in- and out-of-network costs employees face has increased substantially since 2011. For example, out-of-network primary care physician co-pays are now 53% higher than in-network co-pays, compared to a difference of just 16% in 2011." (HighRoads)

Health Care Reform Impacts CDHPs at Many Points
"'Health care reform's impact on CDHPs has so far encouraged more employers to consider account-based plans to lessen consumers' insulation from actual health care costs[.]'" (Society for Human Resource Management)

[Opinion] Analysis: Health Care Myths and Realities -- Seeking the Truth about High-Deductible Plans
"Insurers regularly trot out studies, which they themselves conduct, as part of their ongoing campaign to persuade employers that haven't yet joined in, to get with the program. Earlier this month, for example, my former employer released the results of the 'Sixth Annual Cigna Choice Fund Experience Study.' A press release crowed that, 'When American workers engage in health-smart habits offered in consumer-driven health plans, they reduced their health risks and lowered their total medical costs an average of $9,700 per employee over a five-year period.'" (iWatch News)

Businesses Turn to High Deductible Medical Insurance
"Employers in Inland Southern California and across the nation have tried to shield themselves from soaring medical insurance premiums by shifting more of the cost to their workers." (The Press-Enterprise)

Cigna Choice Fund Consumer-Driven Health Plans Experience Study (PDF)
"Over five years, Choice Fund plans could save up to $9,700 more peremployee when compared to traditional plans." (Cigna)

Employer and Worker Contributions to Health Savings Accounts and Health Reimbursement Arrangements, 2006?2011 (PDF)
"This report presents findings from the 2011 EBRI/MGA Consumer Engagement in Health Care Survey, as well as earlier surveys, examining the availability of health reimbursement arrangement (HRA) and health savings account (HSA)-eligible plans (consumer-driven health plans, or CDHPs). It also looks at employer and individual contribution behavior." (EBRI.org)


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