Healthcare plans

As open enrollment for marketplaces on Healthcare.gov will conclude at the end of the month, federal health officials have nabbed NBA star LeBron James to shoot up a buzzer beater that will garner more attention from Americans in need of affordable health insurance.

Under the Department of Health and Human Services’ final rule issued March 5 on the reinsurance fee imposed under the Affordable Care Act, some employers may be exempt in 2015 or 2016. Is your client exempt?

Private industry employers spent, on average, $29.63 per hour worked for total employee compensation in December 2013, the U.S. Bureau of Labor Statistics reported Wednesday. Wages and salaries averaged $20.76 per hour worked and accounted for 70.1% of that cost, while benefits averaged $8.87 and accounted for the remaining 29.9%.

Like it or not, limited plan options seem here to stay. Brokers and employers discuss their strategies for navigating through them.

More and more employers are looking to wellness programs to help relieve the expected burden of the Affordable Care Act’s excise tax on their high-cost plans. While 35% have already taken action to add or improve these supplemental programs, approximately 47% say they are considering this option, according to a new employer survey from Mercer.

Four of five U.S. companies have raised deductibles or are considering doing so as health costs increase, according to a Mercer survey of more than 700 employers.

Rising health care costs are driving employers to audit their covered dependents to eliminate working spouses.

While health insurance companies are introducing themselves to customers in new markets through new channels, 41% of existing health plan members feel they do not have enough coverage for routine visits, serious illness or injury, health and wellness programs, routine diagnostics and drug coverage, says new research from J.D. Power.

Benefits and risk management consulting firm Laurus Strategies launches a private exchange consulting practice to help employers identify vendors and determine the feasibility of moving to a private exchange.

The percentage of Americans who currently obtain health insurance coverage through their employers continues to drop, indicating an ongoing trend among benefit plan sponsors and HR decision-makers to shift costs to public and private exchanges.

The private and public exchanges offer employers an opportunity to help manage costs and provide personalized benefits, but there is no one-size-fits-all solution, industry experts say.

By bundling all costs for the surgery under one negotiated price and offering expertise that lowers the odds of complications, the Cleveland Clinic can give employers a better deal than some hospitals closer to employees' homes.

On Feb. 26, Rep. Dave Camp (R-Mich.), chairman of the House Ways and Means Committee, released a discussion draft of the Tax Reform Act of 2014 that more completely spells out the tradeoffs for tax reform. Camp’s draft legislation reduces and simplifies the current income tax rate structure, but may modify or eliminate provisions relating to employee benefit plans.

Looking toward the end of 2014 open enrollment in the Affordable Care Act’s health exchanges, Gary Cohen, director of the Center for Consumer Information and Insurance Oversight, said Thursday at an AHIP conference that the Centers for Medicare and Medicaid Services is expecting a “fairly significant spike in enrollments."

Despite a reported 4.4% increase in employer health care costs in 2014, the majority of large U.S. employers say they are more inclined to maintain benefits to active employees, but will modify plans and continue to shift over costs to their employees.

A new study from PricewaterhouseCoopers finds consumers are a lot less focused on the price of their plan than insurance executives believe them to be.

Fortune 500 employers gathered Wednesday for a panel at the America’s Health Insurance Plans annual policy conference in Washington to deliver an up-to-date perspective on private exchanges.

Commentary: The Catalyst for Payment Reform scored each state on its level of health care cost transparency — 29 received an F, only two scored an A. Transparency of health care cost and quality must be the founding principle of sustainable change, says Borislow Insurance’s Mark Gaunya.

Much has been made about how the exchanges are playing in Peoria, but what about Portugal, Poland or Peru?

President Barack Obama’s fiscal 2015 budget proposal includes nearly $14 million for the Department of Labor to combat the misclassification of workers as independent contractors, which renders them ineligible for certain benefits and protections under the law.