GIC Public Hearing. February 3, 2011. What’s the Problem?. Budget pressure on state revenues versus state expenditures continues despite some improvements in the economy We’re not out of the woods yet.
GIC Public Hearing
February 3, 2011
What’s the Problem?
*ProjectedSource: Mercer’s National Survey of Employer-Sponsored Health Plans; Bureau of Labor Statistics, Consumer Price Index, U.S. City Average of Annual Inflation (April to April) 1990-2010; Bureau of Labor Statistics, Seasonally Adjusted Data from the Current Employment Statistics Survey(April to April) 1990-2010.
Attorney General’s “Investigation of Health Care Cost Drivers” and Division of Health Care Finance and Policy hearings 3/16/10
Among Firms Offering Health Benefits, Percentage of Firms That Report They Made the Following Changes as a Result of the Economic Downturn, by Firm Size, 2010
*Estimate is statistically different between All Small Firms and All Large Firms within category (p<.05).
Source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 2010.
Average Annual Worker and Employer Contributions to Premiums and Total Premiums for Family Coverage, 1999-2010
* Estimate is statistically different from estimate for the previous year shown (p<.05).
Source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 1999-2010.
Among All Large Firms (200 or More Workers) Offering Health Benefits to Active Workers, Percentage of Firms Offering Retiree Health Benefits, 1988-2010*
*Source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 1999-2010; KPMG Survey of Employer-Sponsored Health Benefits, 1991, 1993, 1995, 1998; The Health Insurance Association of America (HIAA), 1988.
Added benefits and costs effective July 1, 2011
2004 - Instituted Clinical Performance Improvement Initiative: members pay lower copays for providers with the highest quality and/or cost-efficiency scores:
Tier 1 (excellent)
Tier 2 (good)
Tier 3 (standard)
Physicians for whom there is not enough data and non-tiered specialists are assigned a plan’s Tier 2 level copay
Will receive a three-month premium holiday if you enroll in:
Your choice of plans is for a full year:
July 1, 2011 – June 30, 2012
You cannot change plans until the next annual enrollment period unless:
July 1, 2011
Benefit Changes Effective 7/1/11 - $5,000 out-of-pocket per person calendar year maximum unchanged: