Category: AHIP Studies and Reports

New Data Brief on Hospital Consolidation and Premiums

The growing body of evidence that hospital consolidation and higher premiums go hand-in-hand has yet another entry. A new AHIP data brief finds that as hospital consolidation increases, so too do premiums. Continue reading

Posted in: AHIP Studies and Reports, Health Care Costs

Networks Offer Patients More Choice and More Value

Consumer choice plays a vital role in health care, which is why health plans provide a range of network size options as well as a broad array of physicians and hospitals in their provider networks. Consumers have even greater choice this year with more than 1,000 new networks introduced, a recent McKinsey report concluded. Continue reading

Posted in: AHIP Studies and Reports

ICYMI: Ignagni’s Remarks on Proposed Cuts to Medicare Advantage

A new report from Oliver Wyman estimates that Medicare Advantage beneficiaries would face premium increases and benefit reductions of $35-$75 per month, or $420-$900 next year, if new proposed cuts to Medicare Advantage take effect next year. AHIP President and CEO Karen Ignagni and Glenn Giese, a Principal at Oliver Wyman, discussed this report on a media conference call last Thursday, February 27. Continue reading

Posted in: AHIP, AHIP Studies and Reports, In Case You Missed It

New Report: Seniors to Lose Benefits and Choices as a Result of CMS’ Proposed Cuts to Medicare Advantage

Seniors and people with disabilities enrolled in Medicare Advantage plans would face premium increases and benefit reductions of $35-$75 per month, or $420-$900 next year, if new Medicare Advantage payment cuts recently proposed by the Centers for Medicare and Medicaid Services (CMS) take effect next year, according to a new analysis by Oliver Wyman prepared for America’s Health Insurance Plans. Continue reading

Posted in: AHIP, AHIP Press Releases, AHIP Studies and Reports, Infographic, Issue Alert

10 Policy Recommendations to Transform the Health Care System and Promote Value

As noted in yesterday’s blog post, states are uniquely situated to implement health care reforms that improve quality while reducing costs. Continue reading

Posted in: AHIP, AHIP Studies and Reports

Proposal: Advancing a State-Based Gain Sharing Program for States to Innovate and Control Costs

States have a unique role in shaping the health care delivery system within their borders. They have the ability to induce providers and payers to work together to develop innovative arrangements that will reduce health system costs while improving performance. Continue reading

Posted in: AHIP, AHIP Studies and Reports

Three Ways Health Plans Are Helping to Promote Value and Reduce Costs

Health plans are working to reduce the cost of health care by designing coverage options that encourage patients to make quality-driven medical choices when selecting physicians and hospitals. Continue reading

Posted in: AHIP, AHIP Studies and Reports

Health Plan Innovations in Medication Therapy Management: Effective Practices for Diabetes Care and Other Chronic Conditions

Medication Therapy Management (MTM) has become an essential strategy to address some of the nation’s highest priorities in health care: improving health outcomes and lowering costs for people with diabetes and other chronic illnesses; protecting patient safety; promoting effective care transitions; and reducing preventable hospital admissions and readmissions. Continue reading

Posted in: AHIP, AHIP Studies and Reports

New AHIP Issue Brief: How Reinsurance, Risk Corridors, and Risk Adjustment Protect Consumers

The Affordable Care Act (ACA) creates three interconnected risk management programs intended to protect consumers by stabilizing premiums during the initial years of the law’s implementation. Continue reading

Posted in: ACA, AHIP, AHIP Studies and Reports

New Report: Disability Insurers Saving Federal Government $2 Billion Annually, Extending Life of SSDI Program

As a result of private disability insurers’ return-to-work programs, nearly 65,000 employees each year rely less or not at all on public disability programs, saving the federal government $2 billion each year, according to a new first-of-its-kind analysis from Charles River Associates prepared for America’s Health Insurance Plans (AHIP). Continue reading

Posted in: AHIP, AHIP Studies and Reports, Issue Alert