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Health Plan Premiums Rise Moderately

Margaret Dick Tocknell, for HealthLeaders Media, August 21, 2013

After wellness programs, disease management was identified as an effective cost cutting strategy by 22% of respondents followed by consumer driven health plans (20%), higher employee cost sharing (17%), and tighter managed care restrictions (8%).

Other survey findings:

  • The average annual premium for individual; coverage increased by 5% to$5,884 in 2013.
  • The PPO was the most popular plan with 57% of the covered employees, followed by high-deductible health plans (20%), and HMOs (14%).
  • Some 61% of covered workers face co-insurance if they are hospitalized; in 2013 the average co-insurance rate for a hospital admission was 18%.
  • For physician office visits 74% of covered workers have a copayment for primary care physician visits, and 72% have one for specialist physician visits. The average copayment if $23 for primary care and $35 for specialty care.

Altman said the moderation in healthcare costs indicates that employers believe they don't need to do anything "radical to control costs" such as reducing worker benefits.


Margaret Dick Tocknell is a reporter/editor with HealthLeaders Media.
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