Transforming Health Care Through Evidence and Collaboration
Transforming Health Care Through Evidence and Collaboration
The NIHCM Foundation is a nonprofit, nonpartisan organization dedicated to improving the effectiveness, efficiency and quality of America's health care system.
  • News

    To help you find answers to questions concerning COVID-19, NIHCM is providing you with links to expert sources that are frequently updated. We will continually update this list.

    Learn More
  • Awards

    We are honored to announce the finalists for the 26th Annual Health Care Research and Journalism Awards. The winning entry in each category will be announced in late Spring and will receive a $15,000 to $20,000 cash prize.

    See the Finalists Press Release The NIHCM Awards
  • Data Insights

    As individuals around the world practice physical distancing and quarantine, some may begin to feel increased levels of loneliness and social isolation. This new Data Insights explores the risk factors and identifies key strategies to combat loneliness and social isolation. 

    Learn More
  • Grants

    NIHCM Foundation has awarded 14 grants for health care journalism including investigative reporting and educational opportunities for reporters.

    Press Release All Journalism Grantees
  • Grants

    NIHCM Foundation has awarded over $500,000 in grants to support nine investigator-initiated research studies.

    Press Release All Research Grantees
  • Briefing

    NIHCM Foundation led a briefing on Capitol Hill to discuss social determinants of health and the opioid crisis with Founding President and CEO Nancy Chockley, former CMS Administrator Don Berwick, Curtis Barnett of Arkansas Blue Cross Blue Shield, Craig Samitt of Blue Cross and Blue Shield of Minnesota, and Grant Baldwin from the CDC.

    Press Release Watch the Video
  • Advisory Board

    NIHCM Foundation is pleased to welcome Dr. Scott Gottlieb, Sherry Glied, PhD, and Katherine Baicker, PhD, to its distinguished Advisory Board. Their ideas and insights will advance NIHCM's mission to improve health care for millions of Americans.

    Press Release Advisory Board
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Events

April 15, 2020
USC-covid19-webinar-041520

In this webinar, speakers will discuss what questions journalists should ask providers and health systems to gauge their plans and preparedness and to understand the hard calls they are making on rationing care.

April 08, 2020
USC-covid19-webinar-040820

This webinar highlighted how a top reporter stays on top of the story every day and offered actionable tips that will bolster fellow journalists' coverage.

In the News

March 2020
Population Health Spotlight
newsletter rural urban new

Employer-Sponsored Health Insurance: Recent Trends and Future Directions

Key Points From This Brief:

  • Employer-sponsored health insurance (ESI) continues to be the bedrock of coverage in the United States, but long-term trends reflect a steady decline in offer rates among smaller employers, lower enrollment rates among workers offered insurance, and a move away from coverage for dependents. As a result, the number and proportion of non-elderly people receiving insurance through an employer has trended downward for at least the past decade. 

  • These changes have occurred as escalating medical costs push health insurance premiums ever higher. By 2012, health insurance expenses amounted to nearly 8 percent of the overall private-sector payroll and were nearly 12 percent for public-sector employers. 

  • In the face of these rising costs, employers and health insurers have already been taking numerous steps to curtail spending growth. These initiatives include requiring greater cost sharing from plan enrollees, restricting eligibility for spouses, modifying benefit designs and making more wholesale changes to the types of plans offered, adding wellness and health management programs, and strengthening incentives for enrollees and providers to seek and deliver high value care. 

  • Against this backdrop, the ACA introduces sweeping changes to the U.S. health insurance system. While smaller firms and those with predominantly low-wage workforces may have less incentive to offer or retain coverage, any coverage losses will be modest because fewer workers in these firms currently have health benefits. Large employers, who provide most ESI currently, appear poised to stay in the game even with the one-year delay in the employer mandate but will continue changing the benefits they offer. 

  • It is all but certain that employers will continue to shift a greater portion of health benefit costs to employees and tighten eligibility rules for dependents. Increasing reliance on high-deductible health plans with savings options (HSAs and HRAs) within the ESI market also appears quite likely. 

  • Private exchanges are emerging very quickly as new insurance distribution channels and employers express high interest in moving to these markets in the next few years, most often providing a defined contribution that employees can use to purchase coverage of their choice on the private exchange. Some experts predict that private exchanges will soon be the dominant distribution channel for employerprovided coverage despite the availability of the public SHOP exchanges. 

  • Wellness and health management programs are widespread and growing in sophistication, with employers increasingly relying on financial rewards that require progress toward specific biometric goals. ACA provisions that permit even larger incentives have the potential to affect both the structure and cost of health benefits for millions of U.S. workers.

  • Other strategies already being adopted by employers and insurers seeking to promote value in health care spending include high performance networks and centers of excellence, differential cost-sharing based on the value represented by the provider or the service, reference pricing, and improved transparency around cost and quality. Significant movement along these lines is expected to continue in the future.

  • The ESI world is far from settled. The evolution of ongoing market trends and the impact of the new changes brought by the ACA both may be affected by larger environmental factors. Critical among these factors are trends toward self-insurance by smaller employers, the long-term viability of the public exchanges, state decisions about Medicaid expansion, legal challenges to the payment of subsidies on certain public exchanges and possible changes to the tax treatment of ESI premiums.
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Events

April 15, 2020
USC-covid19-webinar-041520

In this webinar, speakers will discuss what questions journalists should ask providers and health systems to gauge their plans and preparedness and to understand the hard calls they are making on rationing care.

April 08, 2020
USC-covid19-webinar-040820

This webinar highlighted how a top reporter stays on top of the story every day and offered actionable tips that will bolster fellow journalists' coverage.

In the News

March 2020
Population Health Spotlight
newsletter rural urban new

Grants

Journalism GrantsJournalism Grant Program

NIHCM has announced its 2019 journalism grantees. We will begin accepting Letters of Inquiry for the 2020-2021 funding cycle in late spring 2020.

Read More


NYTUpshotLogo

Investigator-Initiated Research Grant Program

NIHCM has announced its 2019 research grantees. We will begin accepting Letters of Inquiry for the 2020-2021 funding cycle in late spring 2020.

Read More

Awards

The 26th Annual Research and Journalism Awards

Winners Announcment 2018 1

We are honored to announce the finalists for the 26th Annual Health Care Research and Journalism Awards.

Learn More