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Why Employers Prefer Employer-Sponsored Health Plans Over Exchanges
Kelsey Waddill / HEALTHPAYER INTELLIGENCE / February 24, 2023
/ /
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Large employers find that employer-sponsored health plans allow
them to maintain control over employee health plan choice and
healthcare spending in order to streamline coverage for their
workforces, according to an issue brief published by The
Commonwealth Fund based on an Employee Benefit Research
Institute (EBRI) survey.
Researchers from EBRI conducted interviews with 26 health
benefits decision-makers. These executives worked at large firms
in a variety of industries. Of the 26 interviewees, 25 employers
were self-insured and most of them offered two or more types of
health plans.
“The ACA presented an opportunity to challenge the status quo of
employment-based benefits, with analysts predicting employers
would eventually redirect workers to ACA exchanges. Yet the link
between employment and health benefits has not wavered since
passage of the ACA,” the researchers found.
The interviewees highlighted three reasons employers did not
shift enrollment to the Affordable Care Act exchanges.
First, respondents believed employers could offer better
benefits at better prices than the Affordable Care Act
exchanges. Additionally, they argued that employers simplify
health insurance for their employees, who would otherwise be
lost amid all the choices on the public exchange. Lastly, no
major employer wanted to be the first to give up their
healthcare benefits and send employees to the exchange.
FACT CHECK: Why the Medicare Advantage 2024 Advance Rate Notice
Represents a Cut, Not an Increase
FEB 27, 2023 / AHIP / /
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More than 30 million seniors and people with disabilities choose
Medicare Advantage (MA) because it delivers lower costs, more
choices, and better access to care. Any proposed policy changes
to MA must be carefully considered and based on data and
evidence – described clearly and based on agreed-upon facts.
Unfortunately, the Centers for Medicare & Medicaid Services’
(CMS) latest Advance Notice Fact Sheet breaks precedent with
past rate notice changes, raising significant concerns about how
proposals would impact premiums and benefits.
According to the 2024 Advance Rate Notice, CMS is proposing a
2.27% cut in MA rate payments - yet the agency claims an overall
1.03% increase. How is this possible? Simply, the agency does
this by relying on an upward 3.30% “trend” that is neither
supported nor relevant.
The final result is clear: the Advance Rate Notice represents a
2.27% cut in payments, just as the Medicare Trustees have
projected that costs per Medicare enrollee for 2024 will grow
5%. These cuts will result in higher premiums and fewer benefits
for seniors and people with disabilities.
CMS Waivers, Flexibilities, and the Transition Forward from the
COVID-19 Public Health Emergency
CMS.gov / Feb 27, 2023 / /
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Based on current COVID-19 trends, the Department of Health and
Human Services is planning for the federal Public Health
Emergency for COVID-19 (PHE), declared under Section 319 of the
Public Health Service Act, to expire at the end of the day on
May 11, 2023. Thanks to the Administration’s whole-of-government
approach to combatting the virus, we are in a better place in
our response than we were three years ago, and we can transition
away from an emergency phase.
The emergency declarations, legislative actions by Congress, and
regulatory actions across government, including by the Centers
for Medicare & Medicaid Services (CMS), allowed for changes to
many aspects of health care delivery during the COVID-19 PHE.
Health care providers received maximum flexibility to streamline
delivery and allow access to care during the PHE. While some of
these changes will be permanent or extended due to Congressional
action, some waivers and flexibilities will expire, as they were
intended to respond to the rapidly evolving pandemic, not to
permanently replace standing rules.
This fact sheet will help you know what to expect at the end of
the PHE so that you can continue to feel confident in how you
will receive your health care. Please note that this information
is not intended to cover every possible scenario.
This fact sheet will cover the following:
COVID-19 vaccines, testing, and treatments;
Telehealth services;
Health Care Access: Continuing flexibilities for health care
professionals; and
Inpatient Hospital Care at Home: Expanded hospital capacity by
providing inpatient care in a patient’s home.
LIMRA: 2022 Single Premium Buy-Out Sales Topple Prior Record
LIMRA / Feb. 28, 2023 / /
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Total U.S. single premium buy-out sales were $48.3 billion in
2022, up 42% from 2021 results, according to LIMRA’s U.S. Group
Annuity Risk Transfer Sales Survey. This marks the highest
annual sales for single premium buy-out sales recorded in the
U.S.
Call-out-PRT.JPGThe number of single premium buy-out contracts
also hit a record. In total, there were 562 buy-out contracts,
34% higher than the number of contracts sold in 2021. This
breaks the previous record set in 2019 of 500 contracts sold.
“Rising interest rates and equity market volatility created an
attractive environment for single premium buy-out sales in
2022,” said Mark Paracer, assistant research director, LIMRA
annuity research. “While there were a couple of jumbo deals ($1
billion+), the record high number of contracts suggests broad
interest from plan sponsors of all sizes. The higher interest
rates improved plans’ funding status, enabling more employers to
mitigate their risk through a pension risk transfer (PRT)
solution.
https://www.limra.com/en/newsroom/news-releases/2023/limra-2022-single-premium-buy-out-sales-topple-prior-record/
Corporate Tuition Assistance Benefit for Employees
RICK BENBOW / Newsweek / /
Read Article
In the current job climate, we are seeing major companies
eliminating tens of thousands of positions across all levels in
a bid to cut costs and protect stock value through the coming
recession. Companies of all sizes are preparing for layoffs
alongside stringent measures to reduce expenses. There is an
atmosphere of heightened anxiety and fear as employees scramble
to look for backup positions, consider career changes or acquire
new skills to make themselves more employable.
In this economic environment, the first casualties across all
sizes of companies are the seemingly extravagant perks extended
to employees. Cost-cutting measures immediately include rolling
back various employee benefits. At the same time, there are
important benefits that could be considered profit centers
instead of cost centers. The foremost among these is the
educational benefit or tuition assistance that several companies
extend to employees, taking on the financial burden of higher
education while enabling them to pursue their degrees and
acquire skills alongside their employment.

Healthcare costs were through the roof in 2022, and 2023
promises to be no different. In light of these challenges,
many organizations are turning to Medical Expense
Reimbursement Plans (MERPs): a proven alternative to
traditional employer-provided health benefit plans,
reducing both risk and unpredictability. That's why we're
excited to share this handy guide to MERPs |
Access Our MERP Guide For Brokers |
What are MERPs? MERPs are a broad categorization of different types of tax-advantaged reimbursement plans. Similar to traditional HRAs, they are vehicles through which employees can be reimbursed for eligible medical expenses.
What does this guide cover?
How MERPs differ from traditional plans
Why MERPs are often better than traditional plans for your clients
What makes Nonstop Health's MERP solution better than popular HRAs
Access the guide now for a deeper understanding of this innovative health benefit solution. |
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10 Medicare Changes for 2023 You Need to Know
Michelle Smith / Yahoo finance / February 26, 2023 / /
Read Article
Medicare helps millions of retired Americans stay healthy after
they leave the workforce. And every year, as technologies
advance and health care demands evolve, Medicare plans change to
serve the retired population.
If you’re one of the nearly 64 million Americans who benefit
from Medicare, keep reading to learn all about the changes to
your insurance coverage in 2023. Some may even help keep your
bank account balance a little higher.
1. Reduced premiums
2. A lower deductible for Medicare Part B
3. A $35 cap on monthly insulin expenses
4. Changes to income-related premium adjustments for Medicare
Part B
5. Changes to inpatient hospital deductibles and coinsurance
amounts with Medicare Part A
6. Additional circumstances qualify your for special enrollment
7. $0 out-of-pocket lung cancer screenings
8. More coverage for post-kidney-transplant immunosuppressive
drugs
9. Additional vaccines with no out-of-pocket costs
10. Changes to prescription drug coverage through 2025
ICMG's announces the 2023
recipient of the Don Kampe Lifetime Achievement Award for 2023
is Jeff Smedsrud.
02/26/23 / ICMG / /
Read Article
The Don Kampe Lifetime Achievement Award is the highest honor
awarded by the Inter-Company Marketing Group. The award was
established in 2001 to recognize members who have made
significant, ongoing contributions of time and resources for the
benefit of ICMG. The award was named in honor of Don Kampe, who
served on our first board of directors, was president for two
terms, and continued to be active in board and committee work
for 24 years.
Jeff has been an ICMG member since 2005. He was President of
Insurance at HealthCare Insurance Services, co-founder of
Healthcare.com, and CEO & founder of Pivot Health.
He was a long-time Gold Sponsor of the ICMG conference and has
also been an exhibitor and speaker at past conferences. His
companies continue to sponsor the ICMG conference. In addition,
he encouraged his employees to not only attend the conference,
but to be actively involved.
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