New form of employer health insurance growing slower than planned
Skip to main content
MDHC_Logotype_white
Subscribe
  • My Account
  • Login
  • Subscribe
  • News
    • This Week's News
    • COVID-19
    • Providers
    • Insurance
    • Government
    • Finance
    • Technology
    • Safety & Quality
    • People
    • Regional News
    • Digital Edition
    • 369178053.jpg
      Shares of insurer Oscar Health fall following $1.4B IPO
      Blue Cross Minnesota sues 'Pharma Bro' Shkreli over antitrust allegations
      5 things to know about Alignment Healthcare's proposed IPO
      Empty boardroom
      Next Up Podcast: What's going to happen tomorrow? Succession planning during emergencies
    • Empty boardroom
      Next Up Podcast: What's going to happen tomorrow? Succession planning during emergencies
      Diagnostic developers hedge on coronavirus rapid antigen tests, citing conflicting FDA messages
      Abbott gets emergency use authorization for test that detects COVID-19, other infections
      Hospital, nursing home losses dampen February's healthcare hiring
    • Shareholder group calls out HCA for alleged excessive emergency department admissions
      Metrologo 600x400_i.jpg
      MetroHealth forms Center for Cancer Research
      The Check Up: Dr. Marc Boom
      The Check Up: Dr. Marc Boom of Houston Methodist
      Dr. Marc Boom
      Q&A: Houston Methodist CEO praises staff efforts to keep vaccine efforts going during ice storm
    • 5 things to know about Alignment Healthcare's proposed IPO
      Solid sign-ups for Biden's new Obamacare coverage offer
      OU Health Physicians, Oklahoma Blues plan fail to reach new contract
      Blue Cross NC claims costs rise thanks to COVID
    • MedPAC likely to recommend an effective cut in Medicare Advantage spending
      MedPAC likely to recommend CMS simplify alternative payment models
      Florida governor faces growing charges of vaccine favoritism
      States rapidly expanding vaccine access as supplies surge
    • 369178053.jpg
      Shares of insurer Oscar Health fall following $1.4B IPO
      Sutter Health posts sizable 2020 loss, announces sweeping review of finances
      UPMC's patient volumes stabilize, boosting 2020 profits
      Genomics firms taking advantage of SPACs trend to go public faster
    • Abbott gets emergency use authorization for test that detects COVID-19, other infections
      Insurance regulator to issue warning on virus-test billing
      351532635.jpg
      Red-hot virtual care market propels New York City health startups to record year
      Teladoc reports $383.3M in fourth-quarter revenue, up 145%
    • Diagnostic developers hedge on coronavirus rapid antigen tests, citing conflicting FDA messages
      Kaiser Permanente, big player in state vaccine effort, has had trouble vaccinating own members
      Accidentally trashed, thawed or expired: Reports of COVID vaccine spoilage
      Coronavirus deranges the immune system in complex and deadly ways
    • Francoise_Adan1_i.jpg
      Cleveland's UH creates position of chief whole health and well-being officer
      Alicia Wilson
      Q&A: Emerging leader Alicia Wilson on staying close to home
      Michael Jordan, Novant team up to address health equity
      Former Ascension CEO, the first to lead the health system, passes away
    • Midwest
    • Northeast
    • South
    • West
  • Insights
    • ACA 10 Years After
    • Best Practices
    • Special Reports
    • Innovations
    • The Affordable Care Act after 10 years
    • Dr. John Fischer
      Patient-reported outcomes tool for hernia surgery helps physicians improve care
      New care model helps primary-care practices treat obesity
      doctor with patient
      COVID-19 treatment protocol developed in the field helps patients recover
      Rachel Wyatt
      Project to curb pressure injuries in hospitals shows promise
    • What's next for on-demand telehealth companies?
      A map of the U.S. with images of the coronavirus.
      The digital divide becomes a new social determinant of health
      A CalOptima PACE vaccination clinic.
      Will COVID-19 be the catalyst for creating a more sustainable healthcare system?
      Ascension’s St. Mary’s Hospital Surgery Center at Towne Centre and Allegheny Health Network’s Bethel Park surgery center
      Hospitals see opportunity, risk in ambulatory surgery centers
    • Dr. Daniel Hall
      UPMC pilots machine learning, telehealth to inform patient transfers
      A woman being recorded using her inhaler on a smartphone.
      Digital check-ins, connected inhalers help control asthma
      A phone screen showing the question, "Mary we hope this information was helpful and we'd like to keep guiding you. Are you interested in knowing when it's your turn to receive the vaccine?"
      Chatbots, texting campaigns help manage influx of COVID vax questions
      A woman with a wearable sensor talking to her provider.
      Wearable sensors help diagnose heart rhythm problems in West Virginia
  • Transformation
    • Patients
    • Operations
    • Care Delivery
    • Payment
    • What's next for on-demand telehealth companies?
      Rising prescription copays drop adherence, spike mortality, research shows
      Dr. John Fischer
      Patient-reported outcomes tool for hernia surgery helps physicians improve care
      Highmark Health inks six-year cloud, tech deal with Google
    • Hospitals' Medicare billing practices suggest upcoding, OIG says
      California hospitals prepare ethical protocol to prioritize lifesaving care
      Amazon, JPMorgan Chase, Berkshire Hathaway disband Haven
      Digital pathways poised to reshape healthcare continuum in 2021
    • Dr. Daniel Hall
      UPMC pilots machine learning, telehealth to inform patient transfers
      A woman being recorded using her inhaler on a smartphone.
      Digital check-ins, connected inhalers help control asthma
      Humana partners with in-home provider for 24/7 care
      A phone screen showing the question, "Mary we hope this information was helpful and we'd like to keep guiding you. Are you interested in knowing when it's your turn to receive the vaccine?"
      Chatbots, texting campaigns help manage influx of COVID vax questions
    • MedPAC likely to recommend CMS simplify alternative payment models
      Bundled payments reduce surgery costs by 10.7%
      Coordinated payment policies could speed transition to value, experts say
      CMMI's geographic direct contracting model needs an overhaul, experts say
  • Data/Lists
    • Rankings/Lists
    • Interactive Databases
    • Data Points
    • Health Systems Financials
      Executive Compensation
      Physician Compensation
  • Op-Ed
    • Bold Moves
    • Breaking Bias
    • Commentaries
    • Letters
    • Vital Signs Blog
    • From the Editor
    • Dr. Alan Kaplan
      The risks, rewards of taking organizations 'where they haven’t gone before'
      Wellstar CEO calls adapting for the pandemic her bold move
      Howard P. Kern
      Recognizing the value of telehealth in its infancy
      Dr. Stephen Markovich
      A bold move helped take him from family doctor to OhioHealth CEO
    • Dr. Stephen Markovich
      Making sure we're aligned along the path to achieving inclusion
      Barry Ostrowsky
      Ending racism is a journey taken together; the starting point must be now
      Laura Lee Hall and Gary Puckrein
      Increased flu vaccination has never been more important for communities of color
      John Daniels Jr.
      Health equity: Making the journey from buzzword to reality
    • Haven is history, but its mission is the future of healthcare
      Vaccinating children could be the key to ending the pandemic
      Mikelle Moore
      The promising future of rural healthcare, even amid the COVID-19 pandemic
      In-person visitation must be part of the national COVID-19 response
    • Letters: Eliminating bias in healthcare needs to be ‘deliberate and organic’
      Letters: Maybe dropping out of ACOs is a good thing for patients
      Letters: White House and Congress share blame for lack of national COVID strategy
      Letters: VA making strides to improve state veterans home inspections
    • Sponsored Content Provided By Optum
      How blockchain could ease frustration with the payment process
      Sponsored Content Provided By Optum
      Three steps to better data-sharing for payer and provider CIOs
      Sponsored Content Provided By Optum
      Reduce total cost of care: 6 reasons why providers and payers should tackle the challenge together
      Sponsored Content Provided By Optum
      Why CIOs went from back-office operators to mission-critical innovators
  • Awards
    • Award Programs
    • Nominate
    • Previous Award Programs
    • Other Award Programs
    • Best Places to Work in Healthcare Logo for Navigation
      Nominations Open - Best Places to Work in Healthcare
      Nominations Open - 50 Most Influential Clinical Executives
    • 100 Most Influential People
    • 50 Most Influential Clinical Executives
    • Best Places to Work in Healthcare
    • Health Care Hall of Fame
    • Healthcare Marketing Impact Awards
    • Top 25 Emerging Leaders
    • Top 25 Innovators
    • Minorities in Healthcare
      • - Luminaries
      • - Top 25 Minority Leaders
      • - Minorities to Watch
    • Women in Healthcare
      • - Luminaries
      • - Top 25 Women Leaders
      • - Women to Watch
    • Excellence in Nursing Awards
    • Design Awards
    • Top 25 COOs in Healthcare
    • 100 Top Hospitals
    • ACHE Awards
  • Events
    • Conferences
    • Galas
    • Webinars
    • COVID-19 Event Tracker
    • podium march webinar logo lockup
      Sponsored Content Provided By Podium
      Webinar: Critical Touchpoints for Every Patient’s Journey — How Technology Plays an Important Role
      scp health logo lockup march 2021
      Sponsored Content Provided By SCP Health
      Webinar: COVID’s call to action — Reset for success in 2021
    • Women Leaders in Healthcare Conference
    • Social Determinants of Health Symposium
    • Healthcare Transformation Summit
    • Leadership Symposium
    • Virtual Briefings
      • - Hospital of the Future
      • - Mental Health
      • - Patient Safety & Quality
      • - Strategic Marketing
      • - Virtual Health
      • - Workplace of the Future
    • Best Places to Work Awards Gala
    • Health Care Hall of Fame Gala
    • Top 25 Minority Leaders Gala
    • Top 25 Women Leaders Gala
  • Listen
    • Podcast - Next Up
    • Podcast - Beyond the Byline
    • Sponsored Podcast - Healthcare Insider
    • Video Series - The Check Up
    • Sponsored Video Series - One on One
    • Empty boardroom
      Next Up Podcast: What's going to happen tomorrow? Succession planning during emergencies
      Next Up Podcast: Educating patients on the COVID-19 vaccine with Tanya Andreadis
      Dr. Joseph Cacchione
      Next Up Podcast: Educating patients on the COVID-19 vaccine with Dr. Joseph Cacchione
      Dr. Karen DeSalvo
      Next Up Podcast: What to expect with telehealth and healthcare technology in the next four years
    • Beyond the Byline: Insurers are betting on virtual-first plans as COVID-19 shifts care pathways
      Beyond the Byline: How residents' stories shape our coverage of the vaccination rollout in nursing homes
      Beyond the Byline: Regulators aim to boost value push with fraud and abuse law updates
      An older man wearing a mask receiving a vaccine.
      Beyond the Byline: Verifying information on the chaotic COVID-19 vaccine rollout
    • Outreach during COVID-19
      Leading intention promote diversity and inclusion
      Introducing Healthcare Insider Podcast
    • The Check Up: Dr. Marc Boom
      The Check Up: Dr. Marc Boom of Houston Methodist
      The Check Up: Dr. Imran Andrabi
      The Check Up: Dr. Imran Andrabi of ThedaCare
      The Check Up: Tanya Blackmon
      The Check Up: Tanya Blackmon of Novant Health
      The Check Up: Dr. Patrick Hwu
      The Check Up: Dr. Patrick Hwu of the Moffitt Cancer Center
    • ivana naeymi-rad one on one intelligent medical objects
      Video: Ivana Naeymi Rad of Intelligent Medical Objects
  • MORE +
    • Advertise
    • Media Kit
    • Newsletters
    • Jobs
    • People on the Move
    • Reprints & Licensing
MENU
Breadcrumb
  1. Home
  2. Insurance
February 15, 2020 01:00 AM

New form of employer health insurance growing slower than planned

Shelby Livingston
  • Tweet
  • Share
  • Share
  • Email
  • More
    Print
    Colin Martin

    “I’m no longer beholden to the insurance industry as to how they’re going to change rates.”

    Colin Martin
    Owner
    Gavco Industries

    Colin Martin, the owner of small furniture company Gavco Industries, was facing a 40% rate increase to continue providing a health plan this year to his 16 employees. Rates had already gone up 8% to 15% annually in the few years before, and the cost of offering insurance was becoming harder to stomach. Shouldering this latest double-digit hike wasn’t feasible for the Kent, Wash.-based company.

    Martin felt “morally obligated” to provide health coverage and he wanted to make sure he could attract and keep good workers, he said. As a small employer, he isn’t required to provide coverage.

    When his insurance broker told him about a new way to offer benefits, allowed by the Trump administration for the first time beginning in January, he took the opportunity.

    Under the new arrangement, Martin ditched the company’s partially self-funded group plan and sent his employees to buy their own coverage on the individual market. He reimburses them a set amount tax-free for premiums and medical services. His employees now have more health plans to choose from—something they’d been asking for, he said. And while Martin isn’t sure if he’ll save money on benefits in 2020, he’s relieved to have more control over any future sticker shock.

    “I can lock in what my expense is so I know what it’s going to be, and I can choose next year to up it or not. I’m no longer beholden to the insurance industry as to how they’re going to change rates,” Martin explained.

    Martin is one of the first employers to take advantage of this alternative to traditional employer health insurance.

    How individual coverage HRAs work

    An individual coverage health reimbursement arrangement, or ICHRA, is an employer-funded, account-based group health plan used to reimburse employees for healthcare expenses on a tax-free basis.

    Employers
    The employer chooses how much to contribute toward employees’ individual market insurance premiums and medical expenses in a given year. Employers must offer the ICHRA on the same terms to all participants within a class and cannot offer both a traditional group plan and an ICHRA to the same class.

    Employees
    An employee covered by an HRA must enroll in a qualified health plan. The employee is barred from receiving a federal premium tax credit to help pay for an Affordable Care Act exchange plan, regardless of whether the employer’s HRA contribution is affordable or not.

    Employees can opt out of the individual coverage HRA and claim the tax credit if eligible and if the employer’s HRA contribution is unaffordable or doesn’t provide minimum value, as defined by the regulation.

    Affordability is based on the employee’s income, the employee’s required HRA contribution, and the lowest-cost silver ACA exchange plan available.

    Source: Modern Healthcare reporting

    Hoping for revolutionary change

    The Trump administration and other proponents of the so-called individual coverage health reimbursement arrangement believe it will revolutionize American health insurance by putting employees in the driver’s seat when it comes to their coverage and care. They bet it will further shore up the shrinking individual market and help small companies afford to offer health benefits.

    Despite broad support, conversations with third-party administrators, brokers and insurers revealed that while many employers are interested in the HRA, they have so far been slow to make moves. But these sources anticipate that enrollment will pick up as employers become aware of the option and more vendors surface to help them design and administer the HRAs.

    The individual coverage health reimbursement arrangement was created by a federal rule that was finalized in June 2019 and took effect Jan. 1. The rule also created what’s called an “excepted benefit HRA,” which employers can use to reimburse premiums for short-term plans.

    Under the rule, employers can pay as much as they want toward workers’ individual plans on a pretax basis. Employees must enroll in an Affordable Care Act-compliant individual plan or Medicare to receive the funds. Previously, only companies with fewer than 50 workers could fund their employees’ individual coverage, and the amount they could reimburse was capped.

    Little more than half of firms with fewer than 200 workers provide health benefits, but almost all larger firms do, according to the Kaiser Family Foundation.

    “Without an HRA, employees with a traditional employer-sponsored plan have to accept their employers’ choice, which—of course—is no choice at all,” CMS Administrator Seema Verma told an audience at the Center for Consumer Information and Insurance Oversight’s Industry Day on Jan. 29. “While that may be a good plan, an HRA allows them to shop for one that best meets their needs and that of their families.”

    Some worry that shifting enrollment to individual coverage HRAs could hurt the individual market rather than help it. That will depend on the characteristics of the people who enroll. The federal government projected that 800,000 employers would offer the individual coverage HRA to more than 11 million workers in the next five years, with 1.1 million of those workers enrolling this year alone.

    Health insurers and hospitals also generally supported the rule expanding HRAs, and some health insurance companies are working with third-party administrators to drive enrollment so they can capture new individual market customers.

    Though there was no tidal wave of employers who rushed to offer the individual coverage HRA on Jan. 1, at least a couple of hundred employers did make the change. Take Command Health, an HRA administrator that operates a private exchange, said it has so far helped 200 employers implement the new option.

    Most of those employers, which span 36 states and Washington, D.C., have less than 10 workers, the company said. But a third of the employers had between 30 and 200 workers, a company size that, if self-funded, can be rocked by rate increases if just one or two employees rack up big medical bills.

    “Those were the ones desperate for the ICHRA,” Take Command CEO Jack Hooper said. “The biggest opportunity—and what we saw among half of the groups wanting the ICHRA—was jettisoning the risk of the group plan.”

    Victoria Hodgkins, CEO of PeopleKeep, another HRA administrator, said “a good number” of small and midsize employers signed up, but declined to say how many. The appetite for the individual coverage HRAs was strong among companies from different geographies and industries, and particularly among those with employees in multiple states, she said.

    Large employers are also eying the new HRA. An informal survey by the American Benefits Council, whose members include Fortune 500 companies, showed that about half of the 71 companies that responded had not ruled out implementing the new HRA, and some of those were considering implementing one soon, said Katy Johnson, senior counsel of health policy.

    Some of those employers were looking at offering the HRA to seasonal and part-time workers who don’t normally receive health benefits, but none that she knew of had actually implemented it. Under the rule, employers must offer the same amount to all employees within a “class,” with full-time, part-time or temporary employees each in their own class, for example. It cannot offer employees within a class a choice between a group plan or an individual coverage HRA.

    Den Bishop, president of insurance brokerage Holmes Murphy & Associates, said he had one new employer customer choose to implement the individual coverage HRA this year, but none of his existing clients chose to do so.

    Meanwhile, Doug Moore, a Pittsburgh-based insurance broker at Seubert & Associates, said just two of his clients made the switch. Both had more than 50 employees and their group health plan rates were based on their workers’ claims experience. High medical claims among the workers sent the companies’ rates higher, so the employers chose the HRA to gain more certainty over costs, Moore said.

    Individual coverage HRA timeline

    2002
    IRS guidance creates the employer-provided HRA.

    2010
    The Affordable Care Act establishes standards for group health plans, effective 2014, that typical HRAs could not meet. Guidance from several federal agencies permits the HRA to be provided with a traditional group health plan, but not with an individual health plan.

    2016
    The 21st Century Cures Act creates the “qualified small employer health reimbursement arrangement,” or QSEHRA, allowing companies with fewer than 50 workers to provide a capped amount of funds toward workers' individual plans.

    2017
    President Donald Trump issues an executive order that leads to the creation of ICHRAs.

    2018
    HHS and the Labor and Treasury departments issue a proposed rule to allow employers of any size to fund individual coverage through HRAs and propose a new “excepted benefit HRA,” which could be used to pay for short-term insurance. The rule is finalized in 2019.

    2020
    Employers begin reimbursing employees for individual coverage through HRAs, tax-free.

    Source: Modern Healthcare reporting

    Slow adoption

    Administrators and brokers said employers are so far slow to start funding their workers’ individual insurance coverage because few are aware it’s an option. The regulations came out too late in 2019 for brokers to educate many employers about the individual coverage HRA.

    Likewise, most employers did not have time to consider the option and design a plan. Sources said employers may be reluctant to get rid of their group health plans for fear of upsetting their workers at a time when the economy is strong, the labor market is tight, and the war for talented employees is fierce.

    Moore also said there were few third-party administrators that understood the individual coverage HRA and were prepared to help employers implement them at the start of the year. He predicted enrollment in the HRA would grow as more administrators and technology vendors enter the space and more insurers introduce individual market health plans, particularly in areas with few choices.

    Next year “will be a much better bellwether for how popular these programs will be,” Moore said.

    Some health insurers are hoping to speed things up by educating brokers and employers about the new financing option. Denver-based Friday Health Plans, for instance, is partnering with Take Command Health to do just that.

    “It just seems like a great way for an employer to accomplish their goal of fixed healthcare cost,” said Friday Health Plans CEO Sal Gentile.

    Of course, insurers also want to position themselves to catch as many new individual market members as possible. Take Command receives a commission for every customer that chooses Friday Health, Gentile said.

    “If today, nationally, the individual market is 20 million and it grows to 30 million, then that’s just good for our business,” he said.

    New York-based Oscar Health is also working with Take Command to promote the individual coverage HRA in certain regions and is tweaking some of its health plans to better appeal to new HRA enrollees by offering lower or no deductibles, said Kyle Estep, Oscar’s market director for its central region.

    Moreover, Estep said Oscar is working to make it easier for individuals to enroll in off-exchange plans through private exchanges. New HRA enrollees are likely to opt for off-exchange plans because they tend to be cheaper than on-exchange plans—10% cheaper in Oscar’s case. Workers enrolled in individual coverage HRAs are also ineligible for a premium tax credit, so they don’t need to visit HealthCare.gov.

    “One of the things we hear from employers is they’re kind of worried about just throwing employees into the individual market,” Estep said. “That means that we on the carrier side, and at Oscar, need to work closely with the private exchanges to make sure the operational aspects are all going smooth.”

    Not perfect

    While champions of HRAs tout employee choice as a major selling point, whether an employee is truly better off under an HRA than a group health plan will depend on the individual’s circumstances. It’s also unclear if enrollment in an HRA would hurt the individual market or help it, as the Trump administration hopes it will.

    Christian Khan, an employee at furniture company Gavco who signed up for his company’s individual coverage HRA, said he now pays $70 in monthly premiums for his individual silver plan because Gavco is picking up most of the tab; he paid $171 previously. His new copays are lower while his deductible is similar to what it was under the company’s self-funded plan.

    But Khan now must switch doctors and is wary about the quality of primary-care physicians in his new narrow network. He had little time to pick a plan in December and chose a silver plan from Centene Corp.’s Ambetter without much research. He later saw that the first 25 or so local doctors in his directory had poor reviews. Centene did not respond to a request for comment.

    “Some of what we would call ‘really good insurance,’ the providers that have very large networks … it seemed like those providers were only available for companies (that offer insurance). For individual users, it seemed like that was limited. Blue Cross wasn’t even an option. Aetna wasn’t an option,” Khan said.

    Most Americans—more than 155 million—have job-based insurance. That coverage is often richer than what they might find on the individual insurance market. Employer plans generally have broad provider networks. Only 7% of employers described their networks as “somewhat narrow” in a Kaiser Family Foundation 2019 survey. In contrast, nearly three-quarters of ACA exchange plans had narrow networks last year, according to consulting firm Avalere Health.

    Deductibles also tend to be higher on the exchange, so patients must pay more out-of-pocket before coverage kicks in. Some U.S. counties have only one or two exchange insurers to choose from. Little data is available about the individual plans sold off the exchange.

    Katherine Hempstead, senior policy adviser at the Robert Wood Johnson Foundation, said workers who transition to an individual plan from the small-group market would likely pay more in premiums and cost-sharing, particularly for prescription drugs. Though her analysis focused on the small-group market, she said the same may be true for workers coming from larger, self-insured employer plans.

    Some experts also warn that by offering an HRA that is considered “affordable” according to the regulation—the lowest-cost ACA silver plan must cost no more than about 10% of the worker’s household income—employers bar otherwise eligible low-income employees from receiving a federal premium tax credit. Only when the employer’s contribution is considered unaffordable can an eligible worker opt out of the individual coverage HRA and receive an ACA subsidy.

    Critics also worry that companies with workers who have high healthcare costs are most likely to opt for the HRA, which could raise premiums for the rest of the people in the individual market. They fear that some employers could dump their sickest workers, despite protections in the rule designed to prevent that.

    Martin, the owner of Gavco, acknowledged that the individual coverage HRA isn’t a perfect solution. He said some of his employees had a hard time navigating the ACA marketplace, especially those who don’t speak English as a first language. A few ended up not enrolling in a plan, even though he encouraged them. He also worried that some employees may have a hard time shouldering the cost of a large medical bill upfront before they are able to submit it for reimbursement under the HRA.

    But had rates under Gavco’s self-funded plan continued to rise without the HRA as an option, the alternative may have been nothing at all: “If prices continued to go up, then the alternative is am I going to keep offering this benefit? How do I continue this?” Martin said. “This is the kind of the plan B where you don’t have to get rid of healthcare. Does this mean I put more burden on employees? Yes, but we’ll evaluate it every year.”

    Letter
    to the
    Editor

    Send us a letter

    Have an opinion about this story? Click here to submit a Letter to the Editor, and we may publish it in print.

    Recommended for You
    5 things to know about Alignment Healthcare's proposed IPO
    5 things to know about Alignment Healthcare's proposed IPO
    Solid sign-ups for Biden's new Obamacare coverage offer
    Solid sign-ups for Biden's new Obamacare coverage offer
    Sponsored Content
    Get Free Newsletters

    Sign up for free enewsletters and alerts to receive breaking news and in-depth coverage of healthcare events and trends, as they happen, right to your inbox.

    Subscribe Today

    The weekly magazine, websites, research and databases provide a powerful and all-encompassing industry presence. We help you make informed business decisions and lead your organizations to success.

    Subscribe
    Connect with Us
    • LinkedIn
    • Twitter
    • Facebook
    • RSS
    • Instagram

    Stay Connected

    Join the conversation with Modern Healthcare through our social media pages

    MDHC_Logotype_white
    Contact Us

    (877) 812-1581

    Email us

     

    Resources
    • Contact Us
    • Advertise with Us
    • Ad Choices Ad Choices
    • Sitemap
    Editorial Dept
    • Submission Guidelines
    • Code of Ethics
    • Awards
    • About Us
    Legal
    • Terms and Conditions
    • Privacy Policy
    • Privacy Request
    Modern Healthcare
    Copyright © 1996-2021. Crain Communications, Inc. All Rights Reserved.
    • News
      • This Week's News
      • COVID-19
      • Providers
      • Insurance
      • Government
      • Finance
      • Technology
      • Safety & Quality
      • People
      • Regional News
        • Midwest
        • Northeast
        • South
        • West
      • Digital Edition
    • Insights
      • ACA 10 Years After
      • Best Practices
      • Special Reports
      • Innovations
    • Transformation
      • Patients
      • Operations
      • Care Delivery
      • Payment
    • Data/Lists
      • Rankings/Lists
      • Interactive Databases
      • Data Points
    • Op-Ed
      • Bold Moves
      • Breaking Bias
      • Commentaries
      • Letters
      • Vital Signs Blog
      • From the Editor
    • Awards
      • Award Programs
        • 100 Most Influential People
        • 50 Most Influential Clinical Executives
        • Best Places to Work in Healthcare
        • Health Care Hall of Fame
        • Healthcare Marketing Impact Awards
        • Top 25 Emerging Leaders
        • Top 25 Innovators
        • Minorities in Healthcare
          • - Luminaries
          • - Top 25 Minority Leaders
          • - Minorities to Watch
        • Women in Healthcare
          • - Luminaries
          • - Top 25 Women Leaders
          • - Women to Watch
      • Nominate
      • Previous Award Programs
        • Excellence in Nursing Awards
        • Design Awards
        • Top 25 COOs in Healthcare
      • Other Award Programs
        • 100 Top Hospitals
        • ACHE Awards
    • Events
      • Conferences
        • Women Leaders in Healthcare Conference
        • Social Determinants of Health Symposium
        • Healthcare Transformation Summit
        • Leadership Symposium
        • Virtual Briefings
          • - Hospital of the Future
          • - Mental Health
          • - Patient Safety & Quality
          • - Strategic Marketing
          • - Virtual Health
          • - Workplace of the Future
      • Galas
        • Best Places to Work Awards Gala
        • Health Care Hall of Fame Gala
        • Top 25 Minority Leaders Gala
        • Top 25 Women Leaders Gala
      • Webinars
      • COVID-19 Event Tracker
    • Listen
      • Podcast - Next Up
      • Podcast - Beyond the Byline
      • Sponsored Podcast - Healthcare Insider
      • Video Series - The Check Up
      • Sponsored Video Series - One on One
    • MORE +
      • Advertise
      • Media Kit
      • Newsletters
      • Jobs
      • People on the Move
      • Reprints & Licensing