December 2017 Volume 19 Issue 12
Providing Current Information on

Health Insurance Industry Issues and Legislation

A year of Modest Changes in Health Benefits
2017 was a year of only modest increases in premium prices and the percentage
of companies offering health insurance to their employees. Likewise, while there
was continued interest in self-funding, there was no increase in percentage of
companies or the number of employees enrolled in partially or fully self-funded
plans. Longer-term, the trend toward employees baring a greater percentage of
total premium costs continued.
HDHP Enrollees Not Acting Like Consumers After All
More than 40% of adults in the U.S. are enrolled in High-Deductible Health Plans.
The amount they have to pay out-of-pocket continues and is over $1,300 for
individuals and $2,600 for a family of 4. Still, only 14% compared prices or quality
for the same service or product and just 6% tried to negotiate prospectively or after
services were provided.
Blockchain The Newest Healthcare Disruptor
Blockchain has the potential to propel innovation throughout the healthcare
marketplace. It can securely tie together complex team-based healthcare delivery,
finance and payment, the routing drugs through the supply change and more, much
more.
Reference Based Pricing Products One Size Does Not Fit All
No two groups are exactly alike and no one Reference Based Pricing program
design is right for them all. That's why HHC Group starts by learning each group's
objectives and constraints. Then we help design and implement the right
Reference Based Pricing program for them.
Some want pre-cert and concierge services. Others want just claims repricing or
repricing, provider appeal support and patient advocacy. Some want customized
models and some provider contracting. We have the experience and expertise to
help the group design and deliver the RBP program that's just right for you.
THREE STAR PREFERRED PROVIDER PROGRAM ADDITIONS
Pinnacle Testing
Dallas, TX 75373

Allsep Vision Center PC
Pasadena, TX 77505

Therapath LLC
New York, NY 10036

Kansas City Hospice and Palliative Care
Kansas City, MO 64114

G. Saurina, MD PC
Valdosta, GA 31602

Caredx Inc
Pasadena, CA 91109

Option Care 045
Chicago, IL 60693

Wichita Eyecare, P.A.
Wichita Falls, TX

Cardiostaff Corporation
Austin, TX 78756