title: A sign of the times.
abstract: Pressure placed on employers to enhance the bottom line comes from a multitude of changes in the marketplace and has resulted in employers seeking to limit their liabilities and expenses for retiree medical care. To address retiree medical issues, employers have adapted a number of strategies that are presented in this article. These include eliminating or modifying benefits, using a defined contribution approach, capping subsidies and enrolling retirees in Medicare HMOs.
authors.forename: B
authors.initials: B
authors.lastname: Barnett
authors.forename: J S
authors.initials: JS
authors.lastname: Bryant
mesh_terms: D000368:Aged; D003363:Cost Control; D006264:Health Benefit Plans, Employee / Q000191:economics / Q000458:organization & administration*; D005102:Health Expenditures / Q000639:trends; D006279:Health Maintenance Organizations / Q000191:economics; D006801:Humans; D007356:Insurance, Pharmaceutical Services / Q000191:economics; D008017:Life Expectancy; D006278:Medicare; D012179:Retirement / Q000191:economics*; D014481:United States