US Health Spending Expected to Grow 5.8% Annually

Estimates project aggregate health care spending in the U.S. will grow at an average rate of 5.8% for 2012-2022, according to data released from the Office of the Actuary at the Centers for Medicare and Medicaid.

The increase is one percentage point faster than expected in the gross domestic product so that the health care share of the GDP in 2022 is projected to reach 19.9%, up from 17.9% in 2011.

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These projections reflect a combination of factors affecting health care spending, including forecasted changes in the nation’s economy and provisions of the Affordable Care Act.

For 2013 health care spending was projected to remain under 4% because of the sluggish economic recovery, slowed growth in Medicare and Medicaid spending, and continued cost-sharing requirements for the privately insured.

But starting in 2014, growth in national health spending is expected to accelerate to 6.1 percent. The sharp rise in the coming  year is mainly due to the expanded insurance coverage as a result of the ACA, though either Medicaid or other marketplaces.

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The use of medical services and goods, especially prescription drugs and physician services, among the newly insured is expected to contribute significantly to spending increases in Medicaid and private health insurance. In addition, out-of-pocket spending is expected to decline 1.5% in 2014 because of new overages and lower cost sharing for those with better coverage.

Further analysis may indicate these increases may not be cause for alarm, however. The Office of the Actuary also studied the relationship between economic growth and health spending over the past 50 years. It suggests that health spending growth is likely to accelerate once economic conditions improve markedly.

“Although projected growth is faster than in the recent past, it is still slower than the growth experienced over the long term,” Gigi Cuckler, lead author of the study, said.

To learn more about the reasons for the spending increase, read the press release provided by Health Affairs.

 

Health Coverage Premiums Rise Slowly Again this Year

Despite a relatively slow rise in costs again this year, premiums for employer health coverage reached above the $16,000 mark for the first time, according to a major survey.

The 4% increase in the cost of a family plan represents the same rate of growth as last year, rising from a cost of $15,745 in 2012 to $16,351 this year. The slowed rate likely reflects employees’ continued tendency to limit the use of health care, said Gary Claxton, vice president of the Kaiser Family Foundation, which performed the annual poll.

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However, the exact reason for the relative lull in the continued upward march of health care costs is a topic of debate among health care economists. Some people believe that it is largely a result of the recession, and the effect will likely end when the economy rebounds.

Other economists prescribe to the idea that the downshift may be more tied to permanent changes in how health care is being purchased. For example, higher deductibles and increased efficiency among health care providers overall may be slowing the rise in costs.

Claxton said this year’s results showed minimum impact from the federal health law. Most of the major provisions take effect next year, and other, smaller conditions, such as the addition of children up to the age of 26 to their parents’ plans, have already been incorporated into the cost of coverage.

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The survey also showed that higher-deductible plans are retaining popularity. The share of employees enrolled in plans that have an annual deductible of $1,000 or more for single coverage hit 38% in 2013, an increase from 34% last year.

For more information on 2013 health care costs, see the article by Anna Wilde Matthews this information was taken from.

ClaimLinx is proactively ready for the many changes of Health Care Reform. For more information, please contact Tom Quigley at tquigley@claimlinx.com or (800)858-1772 X 25.

Many State Health Insurance Marketplaces Will Exceed Requirements

This October brought a monumental start for the country. With its first day, the health care marketplaces opened, and the largest, most complex aspect of the Affordable Care Act began.

While there are problems to fix, the state-run health insurance marketplaces are poised for success, as they are expected to exceed minimum requirements by 2014.

According to a Commonwealth Fund report, the state-run exchanges will surpass federal quality-reporting standards, offer small-business employees a choice of health plan and promote a seamless “one-stop-shop” for consumers to begin coverage.

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The report found that several states are achieving this by using innovative tactics to improve consumers’ experience beyond the law’s requirements:

  • Reporting quality: Nine states plan to display data on quality in their marketplaces. This is two years before the act requires such data.
  • Increasing options: Small-business employees in state-run marketplaces will have more choices. Nearly all of these marketplaces will provide firms with the more than one plan, starting in 2014
  • Promoting insurer participation: Eight states and the District of Columbia have adopted formal rules to require or incentivize insurers to participate in the marketplaces.
  • Balancing members: Many states have taken steps beyond act requirements to encourage a balance of health and sicker people in the marketplace so that participating plans do not end up insuring mostly unhealthy people.
  • Limiting choice for ease: Insurance carriers may sell at five different tiers of coverage. But many states are limiting the number of plans an insurer can sell at each tier in order to make the choices more manageable.
  • Streamlining eligibility: Fourteen states and the District of Columbia used federal funds to adopt a one-stop shop computer system that will determine coverage potential enrollees are eligible for.
  • Improving assistance: In addition to allowing agents and brokers to sell coverage, the state exchanges are also expected to educate consumers and help them sign up for health coverage.

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For more information on the state-run health exchanges, see the press release this information was taken from or the report it concerned. Also please visit the ClaimLinx Exchange as well as the interactive guide to health reform for additional resources and information.

New Flash of Optimism for Small Business Owners

A surge in confidence in July and August reached some of the highest levels since the recession started, according to a handful of recent surveys.

For example, the quarterly small-business optimism index from Wells Fargo and Gallup reached its highest level since the third quarter of 2008. Likewise, the National Federation of Independent Business showed its fourth-highest index reading since December 2007.

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In addition, the Wall Street Journal/Vistage Small Business CEO Survey said that of the 678 business owners surveyed, 73% expect revenues to increase in the next year and 54% expect profitability to improve.

Jim Houser, owner of Hawthorne Auto Clinic Inc., is already seeing an increase in demand for his business in Portland, Ore. His shop has consistently taken in about 15 cars per day since the recession, but the amount customer spent on repairs in an order had dropped 20% from 2007 to 2010. In recent months, though, he has seen the dollar per repair order climb back to pre-recession levels.

“I think people are no longer afraid of losing their jobs … they’re more willing to take care of their cars and buy things like tires and shock absorbers,” Houser said.

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But the shift in small-business confidence may be a bit premature when considering the overall economic outlook. Though it is improving, the current economy is still far from robust, with unemployment just above 7% and gross-domestic-product growth behind the long-run average of 3.5%.

For more information, read the article by Adam Janosky this information was taken from. If you have questions about your small business insurance needs, please contact us today and we would be happy to help you!

Defined Contribution Health Plans

Tom Quigley, National Business Consultant, provides consulting services, and is in charge of recruitment and new business for ClaimLinx.

Today he’s discussing Defined Contribution Health Plans and how they can be utilized to save a company and its employees thousands in tax dollars.

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There is no reason to buy a traditional group health insurance plan as of January 1, 2014.  If you would like to attract & retain good employees by offering health benefits without the high cost & requirements of Group Health Plans, then Defined Contribution Health Plans are a good solution. Employees choose their own health plans with the carrier and coverage that work best for them, and pay for it with tax-free dollars. Using a private exchange online portal, it’s easy to set up.

You can now add extra revenue to your bottom line by going to our healthcare exchange to learn more; or contact Tom Quigley.

ClaimLinx is proactively ready for the many changes of Health Care Reform.  Our Health Care Exchange has its own call center to enroll individuals in the many policies that are available to them. Please visit the site for more information.

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ClaimLinx is positioning its clients to move in the right direction.  We can structure benefits in their favor to ensure they are in full compliance with the law without cutting benefits or employees.  Feel free to contact Tom at tquigley@claimlinx.com or (800)858-1772 X 25 with your questions. Look for our new book, “How to Beat Obamacare” to be released later this year.