瑞信-美股-医疗保健行业-管理式医疗:小型团体、个人和医疗保险市场年度调查-2020.1.27.pdf

瑞信-美股-医疗保健行业-管理式医疗:小型团体、个人和医疗保险市场年度调查-2020.1.27.pdf

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时间:2020-05-06

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1、27January2020EquityResearchAmericas

2、UnitedStatesManagedCareAnnualSmallGroup/Individual&MedicareAdvantageMarketsSurveyManagedCare

3、AnnualWesurveyed62healthinsurancebrokerssellingthousandsofpoliciesinSmallGroupandResearchAnalystsIndividualinsurancemarkets,aswelltheMedicareAdvantagemarke

4、tacrossthecountry.A.J.RiceUNHRankedHighestAmongPublicMCOsintheSmallGroup&Individual2123258134Markets.Withrespecttoindividualcategories,UNHwasrankedbyinsurancebrokersasaj.rice@credit-suisse.comtheleaderintheNetworkscategory,whileKaiserrankedastheleaderintheCareManagementandConsumerEdu

5、cation/EngagementToolsandServicescategories.EduardoRonOverall,Kaiserwasrankedastheleaderasratedbybrokerrespondentsinthesmallgroup2123257491eduardo.ron@credit-suisse.comandindividualmarkets,followedbyUnitedHealth.Comparedtolastyear,overallscoresincreasedforCenteneandKaiser,whiledecrea

6、singforCigna,Molina,non-AnthemBlues,CalebHarris,CPAUnitedHealth,Humana,Aetna,andAnthem.2123257458caleb.harris@credit-suisse.comCostTrendsExpectedtoRise,withSpecialtyDrugs&InpatientHospitalCostsBeingKeyDrivers.Intheindividualmarket,onaweightedaveragebasis,thesurveyedAlexanderKhanbroke

7、rsbelievethathealthinsurershaveassumedamedicalcostincreaseofroughly7.9%2123257714Y/Yintheirpricingfor2020,whileinthesmallgroupmarket,ourbrokerrespondentsalexander.khan@credit-suisse.combelievethathealthplansbakedinaroughly8.3%Y/Ymedicalcostincreaseintheirpricing.Some40%ofbrokerrespon

8、dentsbelievethatthehealthinsurers’expectationsformedicalcostincreasesin2020ishigherthanlastyearintheindividualmarket.Inthesmallgroupmarket,some61%ofbrokerrespondentsbelievethatthehealthinsurers’expectationsformedicalcostincreasesin2020ishigherthanlastyear.Whenaskedaboutthedriversofth

9、eincreaseincostexpectationsfor2020,74%ofindividualmarketbrokerrespondentshighlightedspecialtydrugcosts,followedbyinpatienthospitalcosts(68%),anddrugcostsgenerally(63%).Interestingly,ACAmandateswerenolongerselectedasthetopdriverofincreasedcosttrendfor2020comparedtoourpriortwosurveys.P

10、remiumsExpec

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