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Examining Private Exchanges in the Employer-Sponsored Insurance Market

This report examines the private health exchange market and its emerging trends and implications as private exchanges gain popularity among employers and health plans. With the potential to reshape the employer-sponsored health insurance landscape, the quickly emerging private exchange market carries important implications for both employers and consumers.

Low-Wage Workers Feel the Pinch on Health Insurance

In this column for The Wall Street Journal’s Think Tank, Drew Altman explores how low-wage firms and their workers are faring in the employer-based health insurance market and how the Affordable Care Act may influence future trends.

Private Insurance Coverage of Contraception

Insurance coverage of contraceptive services has been the focus of policy attention by state and federal policymakers, as well as in the courts, over the past two decades. This issue brief explains the rules for private insurance coverage of contraceptives at the federal and state level and discusses key issues regarding the provision and coverage of contraception by private insurance plans, including the impact of the Affordable Care Act (ACA).

JAMA Forum: Why the Ruckus Over the Cadillac Plan Tax?

Larry Levitt’s October 2015 post explains the terms of the much-debated Cadillac plan tax, how it is designed to reduce health costs, and how it could end up shifting more costs to workers.

Diminishing Offer and Coverage Rates Among Private Sector Employees

This brief examines long-term trends in health insurance offer and enrollment rates in private sector establishments, broken out by size of firm. It finds the percentage of workers in private-sector businesses who work in firms that offer health benefits and who are eligible for those benefits has been falling for many years, as has the percentage of workers covered by health insurance in their own firm. These declines have been particularly large for workers in firms with fewer than 50 employees.

A Look at People Who Have Persistently High Spending on Health Care

This analysis looks at the amounts and types of health spending for people with employer-based health insurance who have continuing high health care spending. It finds that, among people with three consecutive years of coverage from a large employer, just 1.3 percent of enrollees accounted for almost 20 percent of…