eHealth, Inc.’s Post

Check out some key findings from our recent study on Individual Coverage Health Reimbursement Arrangement (ICHRA), a company-funded health benefit that helps cover health insurance premiums and medical expenses with pre-tax dollars. Learn more here: https://hubs.li/Q02LgkX10. #healthbenefits #ICHRA #pre-taxbenefits #DeftResearch

Here is another contributor to the high cost of healthcare, delaying treatment. This is an all too common occurrence, people delaying care or not following their prescribed treatment due to the high cost of care and/or medications. This in turn results in additional care needs that further increases the cost of care. For an employer, this means an increased impact on claims experience, in turn resulting in increasing premiums. Unfortunately, the status quo health plans from the Big Health Insurance carriers perpetuate this situation. The good news is that there are solutions to this problem.

"Why have plan sponsors accepted such poor results for so long?" There is no question that managed care has destroyed healthcare and health insurance in the US. Perhaps the most destructive aspect of it all is the way it manipulated the behavior of the American Healthcare Consumer by sheltering them from the data they needed to make informed decisions. How can HR Leaders and CFO's make informed BENEFIT decisions without detailed data, not just claim and premium totals. How can patients make, what can sometimes be life changing, health CARE decisions without having access to the price and quality of the providers? How can decision makers keep going back to the same old well for the same old recommendations when they know they are being 'taken for a ride'? There is a better way www.britepathbenefits.com #abetterway #healthcare #healthinsurance #employeebenefits #sameoldreslts

60% of Health Payers to Offer Behavior-Based Insurance (BBI) by 2035, ScienceSoft Forecasts https://lnkd.in/g2vzmN2n MCKINNEY, Texas–(BUSINESS WIRE)–ScienceSoft predicts 60% of health payers will offer behavior-based insurance by 2035, reducing premiums and enhancing preventive care. Click here to view original post Click Here to Publish/Feature Your Company or Product News [...]

I agree with the concerns regarding the expected rise in MediShield Life premiums and stress the importance of addressing the underlying systemic challenges. Moving towards a value-based healthcare model and integrating technology in service delivery are crucial advancements. However, these changes must be supported by solid data and an understanding of their effects on everyone involved. Additionally, improving public understanding of health insurance is crucial, but we must also strive for insurance models that are more transparent and centered on patient needs. Such strategies can reduce the practice of defensive medicine—where doctors order unnecessary tests or treatments due to fear of legal issues—which can drive up costs. Our goal should be a well-balanced approach that upholds the sustainability of our healthcare system while ensuring the highest quality of patient care. #MediShieldLife #ValueBasedHealthcare #TechnologyIntegration #SystemicChallenges #DataDrivenDecisions #PublicUnderstanding #HealthInsuranceTransparency #PatientCenteredCare #DefensiveMedicine #HealthcareSustainability #QualityPatientCare

I feel that it is crucial to stay informed about these developments. Many clients may need to adjust their financial strategies in anticipation of higher healthcare costs. The government’s support measures will be beneficial, but proactive planning will be key to managing healthcare expenses effectively. Engaging in conversations about health insurance and potential adjustments to MediSave usage can help clients navigate this transition smoothly. Coupled with this, I firmly believe that re-looking into your own Integrated Plans / Hospitalisation Plans would be very beneficial, especially in terms of cost savings and a more comprehensive coverage. https://lnkd.in/gm8esukQ

“…providers need external ‘nudging’ to improve healthcare…Neither collaboration nor the pursuit of efficiency are natural acts in a fee-for-service payment system in which doctors are paid for each individual patient encounter, and hospitals are paid for each day of hospitalizations or service provided…Without a change in the payment system, providers have little incentive to become more organized, and unorganized providers have difficulty accepting payment under any structure other than fee-for-service. Helping preserve the status quo is the appropriate reluctance for national health insurance companies that are serving national employers to implement different payment models for different provider groups in different regions.” Thomas H. Lee

UnitedHealth Group CEO says healthcare needs fixing. Start with these 3 problems in claims and patient costs, experts say. The healthcare system needs to work better to defuse Americans’ frustrations and address their medical needs, UnitedHealth Group CEO Andrew Witty said Friday, addressing the resentment with health insurance that surfaced after the murder of a top executive in his company.

Bill Alert! US House Bill HR 9805 - Access to Claims Data Act Status: Bill Introduced Full Details: https://lnkd.in/e4iVpPTP The Access to Claims Data Act, also known as Bill 118 hr 9805, is a piece of legislation currently being considered by the US Congress. The main goal of this bill is to improve access to health care claims data for both patients and providers. If passed, the Access to Claims Data Act would require health insurance companies to provide patients with access to their own claims data in a standardized, electronic format. This would allow patients t...

If you're an employer, you know. Health insurance costs continue to grow well above inflation rates. As we've been telling clients, costs were mitigated with lower renewals during the COVID era but as contracts renew the providers want much higher rates to make up for what they lost during the high inflation of the last few years. BizPower Benefits is an answer that will help mitigate costs. https://lnkd.in/gT5ZfxBF