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Fact File

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Impact of So-Called 'Cadillac' Tax

HealthLeaders magazine, October 13, 2014

The tax on high-cost health plans, which are often referred to as Cadillac plans, is expected to impact a considerable share of the plans provided by healthcare organizations for their own employees, as much as 39% by 2020. The implications are significant because the excess-benefits tax requires the employer to pay 40% on the value of the portion of the plan that exceeds thresholds set by the Patient Protection and Affordable Care Act. Employers also need to consider that the tax is measured as a direct function of plan cost, and not actuarial plan value, and that a number of factors can drive excise-tax exposure.


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Consumer Health Status

HealthLeaders magazine, September 13, 2014

Healthcare providers can deliver much more effective care if they have an understanding of the characteristics, attitudes, and self-reported health status of a patient's age group. By communicating effectively and delivering care in a manner that resonates with that particular group of patients, healthcare providers can strive to achieve better outcomes and higher patient satisfaction.


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Hospital Financial Trends

HealthLeaders magazine, August 13, 2014

The median fiscal and operational performance of U.S. hospitals over the past year remained relatively flat, despite expectations to the contrary. The data spans a four-year period from 2009Q4 to 2013Q4. Overall, hospitals saw flat or no growth in utilization, but major teaching hospitals saw steady utilization growth. Among the other trends:

  • Outpatient charges are increasing as a percentage of total charges
  • Hospitals have been able to control margins by managing costs
  • Hospital margins have recovered since 2011 and have regained historic levels
  • 25% of all hospitals had negative margins
  • Hospitals control labor and supply expenses better than other operating expenses
  • All components of supply expense have been well-controlled
  • Average age of the plant continues to increase
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