Preview

Group Health Insurance Research Paper

Good Essays
Open Document
Open Document
597 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Group Health Insurance Research Paper
Industry Trends In Group Health Insurance
Group health insurance has undergone a few changes during the past few years, one of those changes are the number of program benefits being offered as the industry moves to a more patient participant environment. Technological advances have also contributed to these changes, giving both employers and individuals more choices when it comes to developing and managing the company’s healthcare benefits.
Group Insurance
The changes haven’t affected how the group health insurance plans are administered and managed for companies in Hopkinton, MA. Today, group benefit options offer variations with improved reimbursement programs, pharmacy containment costs for individuals with monthly prescriptions or
…show more content…
One area that’s been experiencing rising cost is the specialty medical treatments and pharmacy prescriptions. Individual solutions within the group health insurance plan are funding accounts for extra health savings helping to reduce an individual’s annual out of pocket expenses. In some cases these program contributions are set-up with pre-tax advantages.
Group Benefits
The cost of healthcare is a widespread topic of concern as the industry continues to see costs increase across the board. Proven group health insurance plans in Hopkinton, MA are responsive to these concerns and provide a number of group benefits to offset the rising cost without loss to the quality of health care coverage.
• Section 125 Cafeteria Plan is sometimes overlooked by employer management systems when it comes to enhancing employee benefits and reducing employer tax liabilities. This benefit is a pre-tax advantage covering medial and care expenses for the individual and dependents. At the same time it increases the net take home pay, by reducing an employee’s taxable

You May Also Find These Documents Helpful

  • Best Essays

    Custer, William. "Health Reform: Examining the Alternatives." EBRI Issue Brief no. 147 (Employee Benefit Research Institute, March 1994).…

    • 1775 Words
    • 8 Pages
    Best Essays
  • Better Essays

    The purpose of a managed care organization is to coordinate the costs and delivery of health care. A managed care organization oversees money spent on labor, technology, and facilities such as physician offices and hospitals. A type of managed care organization is a Health Maintenance Organization (HMO). A HMO “provides medical care for all its enrollees in return for a fixed annual fee per enrollee” (University of Phoenix, 2010, Key Terms and Concepts Section). An HMO tightly oversees the use of health care services thereby reducing costs and controlling utilization. For example, HMO’s…

    • 1187 Words
    • 5 Pages
    Better Essays
  • Good Essays

    Quiz 2 Wk 6

    • 1014 Words
    • 8 Pages

    This consumer-driven health care option allows employees to contribute pre-tax wages annually to pay for qualified medical expenses, but they will lose the balance not used at year's end.…

    • 1014 Words
    • 8 Pages
    Good Essays
  • Satisfactory Essays

    Employer sponsored medical insurance provides employees coverage under group health plans. Group health plans are managed by the Human Resources department. Employers are able to create a benefits package that can be cost effective and offers reduced costs to employees. There are some benefits that can be omitted an example could be a prescription plan. A specific set of network providers can be established for certain coverage such as mental health. In some cases a benefits specialist can oversee coverage like the prescription drug benefit to find ways to further reduce costs for the employer and employees.…

    • 445 Words
    • 2 Pages
    Satisfactory Essays
  • Better Essays

    Canada is a country built on immigration, mainly British at first, but from all over the world afterwards. Chinese immigration to Canada dates back to the period of the gold rush when they were recruited to mine. In the 1880's, the Chinese population increased after Canada joined the confederation and extra labour was required to build a cross-country railway. Due to the poor economy in China, many Chinese were willing to migrate and work for low wages. The Canadian government seized this opportunity and allowed the companies working on the Canadian Pacific Railway (CPR) to import Chinese immigrants. With a drive for completion a significant number of Chinese were recruited. In order to control this increase in immigration, the Canadian government implemented a policy imposing a head-tax on Chinese immigrants entering Canada. The head-tax was a discriminatory piece of legislation, which was enacted by the government due to public pressure, and which led to severe discrimination of the Chinese people, thus violating present day human rights codes.…

    • 1788 Words
    • 8 Pages
    Better Essays
  • Good Essays

    Based on my income, age and the frequency of doctor visits I am currently enrolled in a preferred provider organization also known as an (PPO) as stated in Siegel, R., & Yacht, C. on the subject of personal finance (p. 246). Additionally, this is covered through blue Cross/Blue Shield. Therefore, I am under a network of health care providers that provide preventive care. The advantages of carrying this type of health insurance allows me to track my health year to year and detect early sings of health issues. Moreover, covered in my insurance is by a prescription drug plan that I pay ten dollars for generic prescriptions. The disadvantage of carrying a (PPO) health insurance is that it will cost more to go out of network.…

    • 302 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Fifth there was a purchasing of the commonwealth Health insurance connector and the intent of the connector is to link individuals without access to employer-sponsored insurance and firms with 50 percent or fewer workers that offer health benefits. Sixth the commonwealth care health insurance plan also known as CCHIP which will be available on a subsidized basis for those with household incomes up to three hundred percent of poverty and only for those who are 1- not eligible for mass health or Medicare 2- have resided in the states for the past six months with an employer contribution of at least 33 percent of premium for at least single coverage and about 20 percent premium for family coverage. The seventh is an unsubsidized component in the connector which will offer coverage to those with income about 300 percent of poverty and the eighth is the reform plan which provides substantial protection for safety net providers, These providers which include Boston and Cambridge and they argued so strongly that there was likely to be a residual pool of uninsured people to whom they would need to continue to provide in two major ways, and lastly the plan was to be financed by maintain the existing 320 million in assessments on the hospitals covered lives, also the federal safety net payments which is a contribution of federal waiver payments of about 610 million federal matching payments on the mass health expansions and added benefits and rate increase by an…

    • 646 Words
    • 3 Pages
    Good Essays
  • Better Essays

    HCA 305 Final Paper

    • 2396 Words
    • 7 Pages

    American people look at their insurance bills, co-pays and drug costs, and can 't understand why they continue to increase. The insured should consider all of these reasons before getting upset. In 2004, employee health care premiums increased over 11 percent, four times more than the rate of inflation. In 2003, premiums rose 10.1 percent and in 2002 they rose 15 percent. Employee spending for coverage increased 126 percent between 2000 and 2004. Those increases were lower than expected. (National Coalition on Health Care, 2005, Facts on health care costs.)…

    • 2396 Words
    • 7 Pages
    Better Essays
  • Better Essays

    Health care system has evolved tremendously in the last few years, with many changes with the health care laws including but not limited to Universal Health Care, many individuals have choices when it comes to their coverage. According to healthcare.gov, in January of 2015, an employer with 50 or more full time employees will have to make an Employer Shared Responsibility Payment if a full time employee gets a lower health coverage premium cost if insurance is purchase in a marketplace. However, employers are not subject to this law if the numbers of employees are lesser than 50 but are still expected to offer coverage for their employees. (healthcare.gov) Employers must make sure that when choosing coverage for their employees, these should be within their needs; within health care requirements as well as inexpensive keeping in mind that lower cost may not necessarily mean better. With many varieties in health care plans such as Preferred Provider (PPO), Point of Service (POS), and Exclusive Provider Organization (EPO); the Health Maintenance Organization (HMO) is the most preferred and utilized group health insurance plan. As a HMO representative of Castor Insurance, health care coverage will be built, including the potential utilization of the services by different enrollees.…

    • 1120 Words
    • 5 Pages
    Better Essays
  • Better Essays

    Evolution of Managed Care

    • 1519 Words
    • 7 Pages

    Managed care is a type of system that was formed to help control the costs and quality to health care services; this will give access to services to specific groups of covered patients. The system was created to help the patients (customers) to receive services without having the full financial burden (University of Washington, 1998). The managed care services’ goal is to be able to help individuals and their families by providing health care services that is affordable. This type of managed care will help employees or individuals by requiring a set fee to be paid to the physician for visits, a co-pay and monthly premium to be paid to the insurance company. This will lower the amount that the patient has to pay. There have been many demands that have been needed in the managed care system; changes have had to be made to keep improving the health care services to help it to continue to grow. This paper will cover how the managed care began, in addition to how the system has grown and the changes of the system.…

    • 1519 Words
    • 7 Pages
    Better Essays
  • Powerful Essays

    With all the recent debate in the news about health insurance and the various plans put forth to ensure all Americans have health insurance, one issue that interested me is employer-sponsored health and wellness programs. There is an increasing trend among employers who provide health insurance to influence their employees’ lifestyle thru health and wellness programs.…

    • 2615 Words
    • 11 Pages
    Powerful Essays
  • Good Essays

    Romneycare

    • 1114 Words
    • 5 Pages

    The employer requirements of romneycare necessitate employers with more than 10 full-time employees to contribute a fair share toward their employees’ health coverage in its group health plan. Moreover, if the same type of employer has failed to adopt a group health plan for its employees, the entity has to incur a surcharge in a situation where the state pays for care for any single of its employee. In addition to these actions, the same employer has to submit a Health Insurance Responsibility Disclosure (HIRD) form to help state collect information and keep a check on the regulation.…

    • 1114 Words
    • 5 Pages
    Good Essays
  • Better Essays

    Cited: James, L. H., & Rebecca, F. A. (2007). The massachusetts health care reform act: What employers need to know. Employee Benefit Plan Review, 61(12), 17-19. Retrieved from http://search.proquest.com/docview/216889767?accountid=10559.…

    • 1164 Words
    • 5 Pages
    Better Essays
  • Good Essays

    Managed Care Analysis

    • 851 Words
    • 4 Pages

    (n.d.). Retrieved January 13, 2017). As a consumer, the thought to examine these areas has rarely come to mind. Examining my policies with the Veterans Administration and Blue Cross Blue Shield of Georgia one would naturally assume that these areas are meeting my health care needs. As a consumer, often health care has not been an issue yet there have been questions raised of why am I paying out of pocket for certain services. The Managed Care Answer Guide has enlightened and given more concern for the issues most Americans face when looking for adequate health…

    • 851 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Over the years in the United States, many plans have been set up by societies of practicing physicians, but the largest enrollment has been in Blue Cross and Blue Shield plans. These were set up as community-sponsored, nonprofit service plans based on contracts with hospitals and with subscribers. Most general voluntary plans accept subscribers, in groups or as individuals. These plans extend coverage to dependents and exclude accidents and diseases covered by workers' compensation laws. Although valuable in cushioning the financial distress caused by illness or injury, voluntary managed care not only limits benefits in order to avoid prohibitive rates but also excludes many people, particularly the poor, who cannot afford it, and senior citizens, for whom the cost is often prohibitive. By the mid-1990s many of the Blue Cross companies, which had been suffering financially, were reorganizing, and by 2002 more than 20% of Blue Cross members were covered by plans that had converted to for-profit status. (www.medicare.gov)…

    • 901 Words
    • 4 Pages
    Good Essays