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Aetna's Health Reform Weekly: Cost Trend, State Regulatory Changes

Jun 15, 2011


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Cost-Shifting, Provider Consolidation Driving Cost Trend
A new PricewaterhouseCoopers Health Research Institute report has found that employers' medical costs are expected to increase from 8 percent in 2011 to 8.5 percent in 2012. The two main drivers are provider consolidation and cost-shifting to the private sector. Also, Medco’s new Annual Drug Trend Report shows the cost of specialty treatments is still increasing at an alarming rate.

States Considering Significant Regulatory Changes
While some states continue to debate significant new legislation affecting new health insurance exchanges and rate reviews, Georgia will begin applying prompt-pay standards to self-funded plans, while Maine has passed a law modifying rating practices in the small group and individual markets to increase marketplace competition.

To view the full articles, visit Health Reform Weekly.

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