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Understanding the Pre-Deductible Telehealth Coverage Extension

Benefit Resource Inc.

The 2023 spending bill signed into law on December 29th includes extending pre-deductible telehealth services coverage. WHAT IS PRE-DEDUCTIBLE TELEHEALTH COVERAGE? Pre-deductible telehealth coverage allows HSAs-qualifying high-deductible health plans (HDHPs) to cover telehealth and remote-care services on a pre-deductible basis.

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Employers Expect Higher Premiums, Little to No Cost-Shifting

InterWest Insurance Services

this year and at a faster clip in 2024 as inflation hits medical costs. ” Whether to pass on higher costs Besides the 64% of employers who said they would boost their benefits in 2024, 28% said they would not but have done so in the past two years. copay plan).

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Employers Prioritizing Enhanced Benefits in New Year, Not Cost-Cutting

InterWest Insurance Services

With Americans increasingly struggling to pay their health care bills, more employers are shying away from only offering their workers high-deductible health plans (HDHPs) that reduce premiums up front for higher out-of-pocket costs for workers. The expected health insurance cost growth of 5.4% Cost-cutting.

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More Insurers Pushing Virtual Care for Cost Savings

InterWest Insurance Services

More and more insurers are expanding the use of telemedicine, just as a new study shows promising cost savings of up to 25% from virtual care when implemented properly. Most large health carriers have adopted some form of telemedicine by either contracting with a tech provider to manage the interface or by purchasing a tech platform.

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Healthcare Must be Focused on the Patient Journey 

HR Professionals Magazine

Insulin prices have increased 600 percent over the last 20 years causing many consumers to be at risk of non-adherence due to cost. 4 Solving the Affordability Issue – Legislation Influence The Inflation Reduction Act , a spending package Congress approved in 2022, capped insulin out-of-pocket costs at $35 for Americans with Medicare.

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New Transparency Requirements for Health Plans

AssuredPartners

Effective January 1, 2023 , group health carriers and self-insured plans must provide cost-sharing information for 500 “shoppable services” (non-emergent services, which are to be defined by the Centers for Medicare and Medicaid Services CMS, that can be scheduled in advance such that a member can price-shop) to customers online.

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Budgeting and Prepping for Open Enrollment

InterWest Insurance Services

Going out of network is discouraged with high out-of-pocket costs. Preferred provider organizations – PPOs contract with hospital and provider networks to help control costs. While they will cover services outside of the network, the cost is higher than going in-network.