Wellness

The president of the NBGH, who is retiring this spring, shares her thoughts about health reform and the future of employer-sponsored health coverage.

If the last few years were an age of reform, then we’ve definitely entered a new era — a time of compliance.

Contrary to expectations, the latest findings from healthcare researcher Decision Resources Group reveal that several of the state-based health insurance exchanges that were expected to perform the best are performing quite poorly, while some of the exchanges in Republican-dominated states openly hostile to the Affordable Care Act have fared surprisingly well to date.

Limitations with how the federally-run health insurance exchanges present information misleads consumers and induces them to spend many thousands of dollars a year more than necessary on health coverage, according to Consumers’ Checkbook, a non-profit consumer advocacy organization and web site.

The dissatisfaction, disappointment and frustration with launch of the federal health insurance exchange could be expected, especially with the constantly elevating level of consumer expectations for e-commerce and other online systems. Meanwhile, the number of private exchanges continues to grow and are in a very good position to succeed.

For millions of low-income Americans, the road to health care reform in 2014 could prove to be a jagged line as they bounce between public exchanges and Medicaid as their income fluctuates over the year.

In a sign of just how difficult it is to rein in out-of-pocket costs, 35% of 2014 bronze-level plans in the Small Business Health Options Program exchange had deductibles that exceeded suggested annual caps under the Affordable Care Act.

Copayments and co-insurance fees have increased on average 34% compared with those of the pre-Affordable Care Act individual insurance market, according to the results of a new HealthPocket study released Thursday.

From ignoring chronic disease to failing to align vendor and employer goals, defined-contribution health strategies through private exchanges are not right for every employer.

This is spurring a new push into communities to sell the state’s program face-to-face.