Healthcare Sub-Markets

Goals

In order to inform a major business pitch, provide a detailed market analysis of the following healthcare sub-markets: Medicare, Stop Loss, Total Rewards and Voluntary Benefits.

Early Findings

Medicare

  • Medicare currently serves 60 million people.
  • In 2017, Medicare was responsible for 15% of total federal spending and 20% of total national health spending.
  • By state, the total percentage of the population that is utilizing Medicare benefits is available here. Maine and Peurto Rico have 25% of the state population on Medicare, while Utah only has 12%.

Stop Loss

  • One type of regulation on stop-loss insurance is "risk-transfer standards." While states may have their own requirements, the National Association of Insurance Commissioners has adopted the Stop Loss Insurance Model Act (#92) which sets minimum attachment points.
  • The stop loss market is valued at $20 billion in premiums.

Total Rewards

We found that total rewards is "a concept that describes all the tools available to an employer that may be used to attract, motivate and retain employees." Following that definition, we did not find any companies offering this service as a package to other businesses, instead, this is utilized to describe the type of system employers utilize to describe all the benefits (compensation, insurance, vacation, etc) to employees.

Voluntary Benefits

  • Voluntary benefits cover four different areas: health, wealth accumulation, security, and personal.
  • Voluntary health insurance benefits include vision insurance, dental insurance, accident insurance, critical illness insurance, hospital indemnity insurance.
  • Voluntary benefits are seeing huge growth, spurred by the desire for personal preference, increased interest in physical and financial wellness, and advances in technology that make these programs simpler to run.
In addition to this public search, we scanned our proprietary research database of over 1 million sources and were unable to find any specific research reports that address your goals.

Proposed next steps:

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