Beruflich Dokumente
Kultur Dokumente
Current Trends
Current Trends
Current Trends
Current Trends
Employer Responses
Aggressive health care initiatives, such as higher deductibles, co-pays, and employee contribution levels. 88% of employees are required to pay some of the insurance premium out of their own pockets. The employee share rose from 14.0% in 1992 to 22.1% in 2005.
Source: Economic Policy Institute, 2008
Employer Responses
Employer Responses
Employer Responses
Some employers have been holding their health care costs to a 1% increase. They're doing it by taking a multipronged approach, with programs to prod employees to take more responsibility for their health and to make more informed health care decisions.
Source: Watson Wyatt Worldwide and the National Business Group on Health
Employer Responses
Successful employers are aggressively pushing consumer directed health plans (CDHPs) Combines a high deductible insurance policy with a tax advantaged health savings account Firms are setting the premiums at 30% below traditional plans to encourage participation Participation hit 15% this year, up from 10% in 2007 and likely to hit 20% in 2008
Source: Watson Wyatt Worldwide and the National Business Group on Health
Employer Responses
Saving money by providing free drugs and supplies for chronic diseases (e.g., asthma, diabetes) that are known to lead to costly complications.
Goal is to get patients to stick to their treatment schedules; often tied to classes or coaching Upcoming survey from Hewitt Associates indicates nearly 20% of firms do this now, and 47% are considering doing so in the future
Source: Watson Wyatt Worldwide and the National Business Group on Health
Employer Responses
Paying the full amount of common preventive services can also help reduce costs
These include annual physicals, mammograms, prostate screenings, flu shots, colonoscopies and prenatal office visits
Source: Watson Wyatt Worldwide and the National Business Group on Health
Employer Responses
Sending the sickest employees to the best doctors is gaining as a strategy
Dubbed by some as a 20-20 approach - employers and their health plans use data to identify physicians rated in the top 20% for effective treatments and match them with the 20% of employees who most need care. Employers provide financial incentives, (e.g., lower copayments) as incentives to use the top providers. Eventually, firms will try predictive modeling to identify the sickest 20% of employees so steps can be taken today to "get ahead of the curve
Source: Watson Wyatt Worldwide and the National Business Group on Health
Employer Responses
Increasing financial penalties for employees that poorly manage their health Many companies continue to reward workers who take health risk assessments and participate in health management programs, while punishing those who do not Employers may deny a worker access to higher-benefit
Employer Responses
On-site medical clinics are growing in popularity
arge companies staff clinics with own employees while smaller firms contract out to nearby clinics
Help provide primary care to workers at low or no cost On-site clinics lessen time employees spend away from work. On-site clinics expanding to include rehab services, dentistry, X-ray and lab work Forms inviting specialists to come on-site and offer their services. Clinics moving into more active management of workers' health conditions
Source: Watson Wyatt Worldwide and the National Business Group on Health
Employer Responses
inking pay to organizational goals, employee productivity, and labor market norms
Pay-for-Performance Programs Performance Management