Health Care Cost Control

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Controlling the cost of health care and health insurance is a priority at AIM. The association leverages the expertise of its Health Care Cost and Policy Committee, the members of which represent a broad-range of employers and health care industry experts. AIM's health care public policy agenda focuses on:

 

  • supporting implementation of the Massachusetts health-cost control law, which seeks to limit increases in medical spending to the overall growth in the state’s economy;
  • developing solutions to the huge price discrepancy among doctors and hospitals in Massachusetts;
  • developing solutions to the issue of large numbers of consumers seeking health care in high-cost academic medical centers;
  • helping Massachusetts to adjust to potential changes in federal health-care reform during 2017; and
  • offering educational programs and timely updates to help employers control the cost and quality of the health insurance they provide.

 

 

  • Issues
  • Resources
  • Cost & Quality Tools
  • News

AIM Supports

 

Not Closing the MassHealth Deficit on the Backs of Employers

 

The 4,000 member employers of Associated Industries of Massachusetts (AIM) believe that the Baker Administration’s proposal to impose a $2,000-per-employee tax on some employers is an unfair way to close a deficit in MassHealth.

AIM: Employers Not Shirking Responsibilities
New Fair-Share Assessment is Unfair
New York Times | Trump Would Convert Medicaid to Block Grants

 

 

Limit the Growth of Medical Spending

 

Control the cost of health care and health insurance by limiting the growth of medical spending to two percentage points below overall economic growth. The 2012 Massachusetts Health Cost Containment Law set a limit equal to the growth of Gross State Product.

AIM Seeks to Limit Health Spending to Less than Economic Growth

 

Separate Small-Group and Non-Group Insurance Markets

 

Help struggling small businesses by de-merging the small-group and non-group markets for health insurance. Federal law mandates certain requirements for the administration of health plans in the non-group market. Those requirements also apply to small-group plans in Massachusetts because the commonwealth is the only state with a merged small-group and non-group market. De-merging these markets will benefit businesses with 50 or fewer employees by ensuring that they will not be burdened by policies that were intended to apply only to individual health plans. 

 

Stop Expensive Health-Insurance Mandates

 

Impose a moratorium on new health care mandates and by repealing the so-called “fifty plus” report.

 

Require Premium-Impact Statements

 

Control the cost of health insurance by requiring that, prior to the adoption, amendment or repeal of any health-care or health-insurance related regulation, an agency must file with the Secretary of State a public notice of the proposed action and include a premium-impact statement. Mandate that any agency considering such adoption, amendment or repeal hold a hearing to allow the public to present data, views or arguments relative to the agency’s premium-impact statement and, prior to adopting the proposed regulation, the agency file an amended premium-impact statement with the Secretary of State.

 

Common Explanation of Benefits Form

 

Require the Division of Insurance to develop a common "summary of payments" form (also known as an explanation of benefits form) to ensure that consumers understand the full cost of all health care services they have received. Specifically, this bill would require the form to reflect any portion of a health care service that is paid by an employer.

 

 

 

Employer Responsibility Infographic
An infographic describing the penalties for employers not offering affordable coverage under the Affordable Care Act.  

 

Health Care Coverage Options Infographic
step-by-step guide through the options and requirements for health coverage under the Affordable Care Act.

 

Health Reform Implementation Timeline
An interactive tool designed to explain how and when the provisions of the Affordable Care Act will be implemented over the next several years.

 

Key Provision under the ACA by Employer Size
Learn about the key provisions of the Affordable Care Act based on the size of your business.

As of October 1, all health insurance plans in Massachusetts will have Web tools that allow customers to access real-time health care cost and quality information. Online tools allow estimation of annual out-of-pocket costs and tracking health-care expenses.

Aetna Health Insurance Member Payment Estimator

Aetna Health Insurance WellMatch (currently available for employers with 750 or more employees)

Blue Cross Blue Shield Find a Doctor

Celticare Health Cost Estimation Tool

Fallon Health Care SmartShopper

Harvard Pilgrim Health Care Now iKnow (HPHC members must log into their account to access the tool’s link)

Health New England (HNE members must log into their account to access the tool’s link)

Tufts Health Plan EmpowerME

AIM Expert
Katherine Holahan
Associate Vice President
Government Affairs
keh@aimnet.org

Health Care Cost Control
Massachusetts, Health care, health care cost control, aca, affordable care act, health insurance
Practical information for Massachusetts employers on health care cost control, federal ACA implementation and related public policy initiatives in Mass.