Gregory A. Freeman is a contributing writer for HealthLeaders.
Small employers are facing formidable hurdles as they consider self-funding health insurance plans. But self-funding still holds appeal.
A California physician network is reducing utilization by providing special attention to patients most at risk for readmission after hospitalization.
A healthcare reform proposal from two governors could improve the Affordable Care Act, but it won't cure what ails the insurance market. It might, however, be the best option for now.
The loss of cost sharing reductions could force health plans to raise premiums so much that silver plan customers opt instead for bronze.
Congress is likely to pursue tax reform in the coming session. In the meantime, health plans are focusing on employer and consumer education.
The insurer no longer allows outpatient imaging in hospitals. Hospitals may feel the financial loss.
Value-based reimbursement is now less of a focus for Medicare and Medicaid, but health plans will continue to carry the torch. The impact of their efforts may be diminished, however.
Health plans are likely to raise premiums if cost-sharing reduction subsidies are halted. That would hurt many consumers, but some could actually benefit.
More employers offer health savings accounts as part of their benefit packages, aiming to lower costs for themselves and employees alike. Changes that make the accounts more consumer-friendly are likely to be part of any future healthcare reform.
Health plans are announcing their proposed premium increases for 2018 and some are quite high. The uncertainty over cost sharing reductions is driving some of the increases.