Our Latest Thinking

We are constantly scanning the health care market for new and interesting developments; then we write about them here. Check out our latest thinking.

Health Insurance

Leavitt Partners: Costs in individual market converging with group markets, but premiums lag

October 25th, 2017

A Becker’s Hospital Review article entitled “Leavitt Partners: Costs in individual market converging with group markets, but premiums lag” highlights the Leavitt Partners “Nationally, Individual and Group Market Costs Increasingly Similar” white paper.

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Nationally, Individual and Group Market Costs Increasingly Similar

October 23rd, 2017

In 2014, Affordable Care Act (ACA) federal requirements went into effect that dramatically changed the regulatory framework for the individual market in most states. The ACA also applied separate regulatory changes to the group market, with the small group market having to undergo more adjustments than large group, but in general these reforms had less of a disruptive impact than in the individual market.

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Leavitt Partners Releases “Nationally, Individual and Group Market Costs Increasingly Similar” White Paper

October 23rd, 2017

Salt Lake City, October 23, 2017 –Today, Leavitt Partners released, “Nationally, Individual and Group Market Costs Increasingly Similar,” a white paper that examines total incurred costs and premiums per member per month for the individual, small, and large group markets from 2010 to 2016. The authors compare average claims expense across the individual and group […]

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Senate HELP Committee

September 13th, 2017

On Tuesday, September 12 Governor Mike Leavitt testified before the Senate HELP Committee. During his testimony, he suggested creating a series of model waivers that states could choose from to help speed up the process.

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Adding Complexity to an Already Complex Process

August 15th, 2017

Given the well-publicized challenges with the individual market, carriers’ product development and pricing process for 2018 has been particularly difficult. In an effort to give insurers some reprieve, last week the Centers for Medicare and Medicaid Services extended the deadline for issuers to make changes to their rate filings from August 16 to September 5.[1]  However, […]

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Leavitt Partners Releases “Price, Consumer Choice, and Health Care Marketplaces” White Paper

August 8th, 2017

Salt Lake City, August 8, 2017 – Today, Leavitt Partners released “Price, Consumer Choice, and Health Care Marketplaces,” a new white paper addressing the need for more clarity about what dynamics are driving consumer choice in the health insurance marketplaces. Using data on plan premiums, brand, network size, and the exchange-eligible population for ten total […]

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Price, Consumer Choice, and Health Care Marketplaces

August 8th, 2017

The Affordable Care Act (ACA) established health insurance marketplaces for two purposes: to allow individuals to purchase insurance and gain subsidies for that insurance, and to increase competition and product comparability among insurers.

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Maryland and Vermont: Lessons in Health Care Reform

June 5th, 2017

Introduction During the 1970s, in an effort to limit rising health care expenditures, several states adopted various forms of all-payer rate-setting models, where all payers pay the same price for services at a given facility. Over time, most state models failed and only Maryland’s all-payer hospital rate-setting system remains. Recently, there is renewed interest in […]

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