Private-Market Health Insurance

Related Issues

Health insurance allows individuals, families and businesses to protect themselves against the risk of incurring sudden or significant medical costs related to their health. In addition to providing financial protection and peace of mind for policyholders, health insurance plans are increasingly providing programs and expertise to improve the quality and safety of patient care by promoting prevention and wellness, helping patients manage chronic conditions, partnering with medical providers, and driving innovations.

Polls show that people with private health insurance are consistently satisfied with their coverage. According to the Employee Benefits Research Group, 73% of people enrolled in a traditional health care plan were extremely or very satisfied with the quality of coverage they received through their health plan. Other surveys have consistently demonstrated similar results.

There are two ways in which people access private-market health insurance: 1) the individual insurance market, and 2) employer-sponsored coverage, which is comprised of the small group and large group markets. Each market has distinct characteristics and operates under different regulations.

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In this section:

Latest Documents

Annual Employer Health Benefits Survey

The Kaiser Family Foundation conducts this annual survey of employers and provides a detailed look at trends in employer-sponsored health coverage, including premiums, employee contributions, cost-sharing provisions, and other relevant information.

AHIP Web Resources | Strategic Communications | 06/05/2012

Small Group Health Insurance in 2010: A Comprehensive Survey of Premiums, Product Choices, and Benefits - [PDF]

In July 2010, America’s Health Insurance Plans (AHIP) conducted a comprehensive survey of member companies offering coverage in the small group health insurance market. Responses included premium and benefit data from more than 477,000 small groups (those with 50 or fewer employees), reflecting approximately 3.7 million workers and 1.3 million dependents with coverage as of January 2010.

Research | Center for Policy and Research, Product Policy | 07/08/2011

January 2011 Census Shows 11.4 Million People Covered by Health Savings Account/High-Deductible Health Plans (HSA/HDHPs) - [PDF]

An annual census by America's Health Insurance Plans (AHIP) of U.S. health insurance carriers shows that the number of people covered by health savings account/high-deductible health plans (HSA/HDHPs) totaled 11.4 million in January 2011.

View slides for this report. 

Research | Center for Policy and Research | 06/16/2011

January 2011 Census Shows 11.4 Million People Covered by Health Savings Account/High-Deductible Health Plans (HSA/HDHPs)(Slides) - [PDF]

An annual census by America's Health Insurance Plans (AHIP) of U.S. health insurance carriers shows that the number of people covered by health savings account/high-deductible health plans (HSA/HDHPs) totaled 11.4 million in January 2011.

View the full report. 

Research | Center for Policy and Research | 06/16/2011

An Analysis of Health Savings Account Balances, Contributions, and Withdrawals in 2009 - [PDF]

A comprehensive study of financial activity in health savings accounts (HSAs). Data collected from three large banks contain detailed account information of more than 1.2 million HSA accounts open as of December 31, 2009.

Research | Center for Policy and Research | 12/06/2010

Fact Check on Individual Health Insurance Coverage

This fact check from the AHIP Coverage blog compiles research on the critical role of the individual insurance market, which serves more than 14 million people. The blog post also highlights what thought leaders, think tanks and the media are saying about the importance of a personal coverage requirement.

AHIP Coverage Blog Posts | 10/12/2010

Annual Employer Health Benefits Survey

The Kaiser Family Foundation conducts this annual survey of employers and provides a detailed look at trends in employer-sponsored health coverage, including premiums, employee contributions, cost-sharing provisions, and other relevant information.

AHIP Web Resources | 09/02/2010

AHIP Letter to Congressman Crowley on Premium Increases in Small Group Market - [PDF]

In response to questions from Congressman Crowley, AHIP explains the factors that are likely to cause potential premium increases within the small group market in the coming years.

12/15/2009

Individual Health Insurance 2009: A Comprehensive Survey of Premiums, Availability, and Benefits - [PDF]

The latest in a series of AHIP surveys shows that the market for individually purchased coverage is more affordable and accessible than may be widely known.

Research | Center for Policy and Research | 10/21/2009

Estimated Income Characteristics of HSA Accountholders in 2008 - [PDF]

For this follow-up study, the responding banks used a geo-coding technique to estimate the income characteristics of those HSA accountholders, which allows analysis of account balances, inflows and outflows by income range.

Research | Center for Policy and Research | 05/13/2009

A Survey of Preventive Benefits in HSA Plans - [PDF]

November 2007 A Survey of Preventive Benefits in Health Savings Account (HSA) Plans, July 2007 www.ahipresearch.org 2 A Survey of Preventive Benefits in Health Savings Account (HSA) Plans, July 2007 Most HSA Plans Provide First-Dollar Coverage for Recommended Preventive Care November 2007 SUMMARY In July 2007, Americas

Research | 11/19/2007

Aetna: Identifying and Addressing Serious Health Risks

 

Multimedia Library | Center for Policy and Research

Aetna: Preventing Dangerous Drug Interactions

 

Multimedia Library | Center for Policy and Research

Aetna: Supporting the Practice of Evidence-Based Medicine

 

Multimedia Library | Center for Policy and Research

BCBS of Massachusetts: The Alternative Quality of Contract

AHIP member company produced video - BCBS of Massachusetts: The Alternative Quality of Contract 

Multimedia Library

Cigna: A Cigna Member Tells How the Health Plan Helped Her Following a Car Accident

AHIP member company produced video - Cigna: A Cigna Member Tells How the Health Plan Helped Her Following a Car Accident 

Multimedia Library

Cigna: A Cigna Member with Diabetes Tells How the Health Plan's Wellness Program Turned Her Life Around

AHIP member company produced video - Cigna: A Cigna Member with Diabetes Tells How the Health Plan's Wellness Program Turned Her Life Around 

Multimedia Library

Cigna: Coaching a 9/11 Survivor for Better Health

 

Multimedia Library | Center for Policy and Research

Cigna: Enabling a Victim of Domestic Violence to Begin Rebuilding Her Life

 

Multimedia Library | Center for Policy and Research

Cigna: Finding Food for a Sick Child

 

Multimedia Library | Center for Policy and Research

Cigna: Getting on the Right Track with Weight Loss, Diabetes, and Depression

 

Multimedia Library | Center for Policy and Research

Cigna: Going Smoke-Free and Shedding Pounds Before Pregnancy

 

Multimedia Library | Center for Policy and Research

Cigna: How Health Coaching Works

 

Multimedia Library | Center for Policy and Research

EmblemHealth: Finding Creative Ways for a Patient to Afford Treatment

 

Multimedia Library | Center for Policy and Research

EmblemHealth: Overcoming Alcoholism and Addressing Unmet Medical Needs

 

Multimedia Library | Center for Policy and Research

EmblemHealth: Reaching Out to Patients with Complex Conditions

 

Multimedia Library | Center for Policy and Research

Employer-Sponsored Coverage

Employer-sponsored health coverage is the most common type of health insurance. About 157 million nonelderly Americans receive their health benefits through an employer.

Excellus BCBS: Keeping Medications Affordable

Excellus Blue Cross Blue Shield - Keeping Medications Affordable

Multimedia Library | Center for Policy and Research

Excellus BCBS: Overcoming Confusion about Medications after a Hospital or Rehab Stay

Excellus Blue Cross Blue Shield Video - Overcoming Confusion about Medications after a Hospital or Rehab Stay

Multimedia Library | Center for Policy and Research

Excellus BCBS: Protecting Patients from Adverse Drug Interactions

Excellus Blue Cross Blue Shield Video - Protecting Patients from Adverse Drug Interactions

Multimedia Library | Center for Policy and Research

Group Health Cooperative: Living Well with Chronic Conditions

AHIP member company produced video - Group Health Cooperative: Living Well with Chronic Conditions 

Multimedia Library

Group Health Cooperative: The Medical Home

AHIP member company produced video - Group Health Cooperative: The Medical Home

Multimedia Library

Health Savings Accounts and Consumer-Directed Plans

Health savings accounts (HSAs) and the high-deductible health plans that are paired with them are an increasingly popular choice for individuals, families and employers. This coverage option provides individuals with a comprehensive health insurance plan, while also giving them the opportunity to save tax-deferred funds for qualified medical expenses, such as doctor visits and prescription drugs.

HealthPartners: Achieving Results that Make a Difference for Diabetes Patients

HealthPartners Video - Achieving Results that Make a Difference for Diabetes Patients

Multimedia Library | Center for Policy and Research

HealthPartners: Coaching Patients on Reaching Goals for Better Health

HealthPartners Video - Coaching Patients on Reaching Goals for Better Health

Multimedia Library | Center for Policy and Research

HealthPartners: Empowering Patients with Diabetes to Improve Their Health

Health Partners Video - Empowering Patients with Diabetes to Improve Their Health

Multimedia Library | Center for Policy and Research

HealthPartners: The Diabetes Wizard

HealthPartners Video -The Diabetes Wizard

Multimedia Library | Center for Policy and Research

Humana: Humana Cares

AHIP member company produced video - Humana: Humana Cares

Multimedia Library

Independence Blue Cross: Enabling Doctors and Nurses to Realize their Goals for Excellence

Independence Blue Cross video -  Enabling Doctors and Nurses to Realize their Goals for Excellence

Multimedia Library | Center for Policy and Research

Independence Blue Cross: Teaming Up to Address Patients’ Many Needs

Independence Blue Cross's doctors, nurses, medical assistants, and pharmacists work together to make sure that patients have the lab tests, primary and specialty care, and patient support they need to live healthy lives.

Multimedia Library | Center for Policy and Research

Individual Market Health Insurance

The individual insurance market provides coverage to more than 14 million people who purchase health insurance on their own. Because individual health insurance is not subsidized by employers or through the tax code, each consumer is forced to pay the entire cost of the premium. The nature of the individual market differs greatly from the group markets because of many variables that make it a challenge to predict costs. In fact, many people who do not have employer-sponsored coverage only purchase individual market coverage when they anticipate needing medical services.

Kaiser Permanente: Making Exercise a Vital Sign

Kaiser Permanente Video - Making Exercise a Vital Sign

Multimedia Library | Center for Policy and Research

Kaiser Permanente: Offering Culturally Sensitive Counseling for Weight Loss

Kaiser Permanente Video - Offering Culturally Sensitive Counseling for Weight Loss

Multimedia Library | Center for Policy and Research

Kaiser Permanente: Using Web-Based Learning and Social Media to Help Patients Lose Weight

Kaiser Permanente Video - Using Web-Based Learning and Social Media to Help Patients Lose Weight

Multimedia Library

Sentara/Optima Health: The Wellness Payoff

AHIP member company produced video - Sentra/Optima Health: The Wellness Payoff 

Multimedia Library

The Health Savings Alliance

The Health Savings Alliance is a non-partisan, educational and grassroots initiative of America's Health Insurance Plans (AHIP). The Alliance is working to urge Congress to strengthen HSAs and HSA health plans, which continue to help protect families from the rising costs of health care.

AHIP Web Resources