Health & Welfare Plans Newsletter

November 17, 2020

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[Guidance Overview]

New Transparency Rules Require Health Insurers to Disclose Health Care Cost and Cost-Sharing Information

"The Departments have already finalized requirements for hospitals to disclose their standard charges, including negotiated rates with third-party payers, which take effect on January 1, 2021. ... The insurance pricing transparency final rule has three major aspects to making pricing information more available for consumers while incentivizing consumers to shop for services from lower-cost, higher-value providers." Icon to read more

Frost Brown Todd LLC

Preventive Services with the Slowest Growth in Utilization

"[This graphic] shows preventive services with the slowest growth in utilization between 2014 and 2017, across the Individual, Employer-based, Medicare, and Medicaid markets" Icon to read more

Milliman

Preventive Services with the Fastest Growth in Utilization

"[This graphic] shows preventive services with the fastest growth in utilization between 2014 and 2017, across the Individual, Employer-based, Medicare, and Medicaid markets" Icon to read more

Milliman

COVID-19 Tests: Price Gouging Continues

"The average cost of a COVID-19 test in the commercial market is $130. In contrast, out-of-network cost [is] more than $185 for nearly half of diagnostic tests and a third of antibody and antigen tests. This represents a 10% increase in the share of high cost diagnostic and antibody tests since July. The share of COVID-19 tests administered out-of-network increased by 14%. As much as 16% of out-of-network test claims were more than $390 -- three times the average cost." Icon to read more

America's Health Insurance Plans [AHIP]

The Implications of Eliminating Essential Health Benefits

"In this analysis, [the authors] ... estimate the shares of a typical nongroup insurance premium attributable to an array of different benefits. [They] also estimate the financial implications for people using those benefits should they be eliminated from the nongroup insurance benefit package." Icon to read more

Urban Institute

77% of Americans Unfamiliar with Proposals to Lower Medicare Age

"For those ... ages 55 to 64, most are worried about their ability to afford health insurance before reaching the current Medicare eligibility age of 65. Fifty-seven percent of the employed group is worried ... Thirty-three percent of those employed and unemployed and under 65 are planning to reduce preventive care appointments and/or everyday household purchases like groceries to afford health insurance before they reach 65.... Thirty-eight percent of the non-working group gets health insurance through either a former employer or a partner's employer[.]" Icon to read more

InsuranceNewsNet.com

Press Releases

Most Popular Items in the Previous Issue

What Happens When COBRA Deadlines Become Suggested Time Limits?
Paul M. Hamburger of Proskauer Rose LLP, via HR Daily Advisor

View COVID-19 News and Resources

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Lois Baker, J.D., President  loisbaker@benefitslink.com
David Rhett Baker, J.D., Editor and Publisher  davebaker@benefitslink.com
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BenefitsLink Health & Welfare Plans Newsletter, ISSN no. 1536-9595. Copyright 2020 BenefitsLink.com, Inc. All materials contained in this newsletter are protected by United States copyright law and may not be reproduced, distributed, transmitted, displayed, published or broadcast without the prior written permission of BenefitsLink.com, Inc., or in the case of third party materials, the owner of those materials. You may not alter or remove any trademark, copyright or other notices from copies of the content.

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