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The Henry J. Kaiser Family Foundation

Grandfathering Explained

The Republican leadership in the House of Representatives recently indicated that it will be seeking to repeal regulations under the Affordable Care Act (ACA) that govern the “grandfathered” status of health plans. As this aspect of the health reform law gets more scrutiny, it may be useful to review some of…

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The Henry J. Kaiser Family Foundation

An Employer Health Benefits Balance Sheet

There seems to be growing interest in the question of how many employers will keep offering coverage to their full-time employees once the Affordable Care Act (ACA) is fully implemented in 2014, or instead will choose to stop offering coverage and pay a penalty. While there is some good analysis…

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The Henry J. Kaiser Family Foundation

Measuring the Affordability of Employer Health Coverage

A recent draft regulation issued by the Treasury Department describes who is eligible for premium tax credits to help them afford coverage offered through health insurance exchanges beginning in 2014. Tax credits will be available to people with incomes between 100 and 400 percent of the poverty level who are…

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The Henry J. Kaiser Family Foundation

The Economy and Medical Care

Various market watchers have reported that the use of health care services has not been growing recently as it had in the past, resulting in lower than expected health care claims for people with private insurance and higher than expected earnings for insurers. A look at physician office visits by…

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The Henry J. Kaiser Family Foundation

Health Insurance Transparency under the Affordable Care Act

In February, a final rule was issued implementing the Affordable Care Act (ACA) requirement that all health plans provide a uniform summary of coverage for all enrollees and applicants. The idea of providing easy-to-understand summaries of coverage is, in fact, the most popular provision in the ACA, according to a recent Kaiser…

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2012 Employer Health Benefits Survey

This annual survey of employers provides a detailed look at trends in employer-sponsored health coverage, including premiums, employee contributions, cost-sharing provisions, and other relevant information. The survey continues to document employer’s implementation of health reform with question on the percent of firms with grandfathered health plans and enrollment of adult children due to the new health reform law. The 2012 survey included 3,326 randomly selected public and private firms with three or more employees (2,121 of which responded to the full survey and 1,205 of which responded to an additional question about offering coverage).

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The Henry J. Kaiser Family Foundation

Snapshots: Premiums, Cost-Sharing and Coverage at Public, Private and Non-Profit Firms

There are important differences in the legal organization and mission of different employers in the United States. In addition to collecting information about premiums and employee cost sharing, the 2012 Employer Health Benefits Survey asked respondents to characterize their ownership structure. Respondents were asked to describe their organization as either a “private…

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The Henry J. Kaiser Family Foundation

Snapshots: The Prevalence and Cost of Deductibles in Employer Sponsored Insurance

Over the past several years enrollees in employer-sponsored health plans have contributed more towards their care through the use of increased cost sharing.  The growth in deductibles is one of the more visible increases in employee cost sharing. A deductible is an amount that must be paid out-of-pocket by an…

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The Henry J. Kaiser Family Foundation

Section 5: Market Shares of Health Plans

The distribution of enrollment among types of health plans has remained fairly constant over the past several years. The majority of covered workers are enrolled in PPO plans (55%), followed by HMO plans (25%) (Exhibit 5.1). Although annual changes in plan enrollment have been moderate, enrollment in PPO plans has…

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The Henry J. Kaiser Family Foundation

Section 11: Retiree Health Benefits

Exhibit 11.1Exhibit 11.4Exhibit 11.2Exhibit 11.5Exhibit 11.3 11 Twenty-eight percent of Medicare beneficiaries receive prescription drug coverage from an employer, a far higher number than receive coverage through a Medicare HMO (15%), Medigap (7%) or Medicaid (10%). Laschober et. al., Health Affairs, February 2002.

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