State Requirements for Individual Market Benefit Design and Cost-Sharing

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ACA State Requirements


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One Response

  1. 1 in 5 Insurers Are Using Risk-Sharing Agreements With Biopharmaceuticals

    PWC recently released their annual report on medical cost trends. Here are some key findings on employer plans and insurer costs:

    • 1 in 5 insurers are using risk-sharing agreements with biopharmaceuticals.
    • 85% of health insurers’ costs are dependent on providers’ care delivery.
    • If the ACA was repealed, 72% of employers would still pay for preventive services.
    • 63% of employers would continue without pre-existing condition limitations.
    • 53% of employers would continue no annual dollar limits.
    • Health spending has decreased 11% for some employers as employees use less care.

    Source: PWC, June 2017


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