Managed Care - August 2012 - (Page 47)

MANAGED C ARE OUTLOOK Employers plan to push wellness programs more he glass-half-empty/-half-full dynamic appeared when the consulting company Deloitte last month released a survey of employer expectations (http://bit.ly/QrAvpg) about the health care system. The finding that 10 percent of employers plan to drop coverage within three years as state insurance exchanges come online was greeted ominously by some. Others thought, What’s the big deal? The study itself indicates that it’s not worth getting worked up about, noting that Agree Disagree Don’t know Agree Disagree Don’t know “most employees do not intend to drop health benefits coverage.” 50–100 Given what you know or have heard, do you agree with this statement: “My company is anticipating dropping 101–999 employees 5% 82% 13% 101–999 coverage 5% 82% 13% health insuranceemployees over the next three years?” 1,000–2,499 employees 1% Agree 1,000–2,499 employees 1% 50–100 employees 13% 2,500+ employees 2% 2,500+ employees 2% 101–999 employees 5% Total employers 9% Total employers 1,000–2,499 employees 2,500+ employees Total employers Disagree Don’t know 95% T 13% 50–100 employees 13% 79% 79% 8% 8% 95% 79% 91% 81% 4% 7% 8% 4% 7% 10% 4% 7% 91% 82% 81% 9% 10% 13% 1% 2% 9% 95% 91% 81% 10% Most of the 560 employers surveyed believe that costs are driven by hospital prices (80 percent), inefficiencies (68 percent), and workers’ unhealthy lifestyles. Most employers plan to increase employee cost-sharing and to stress preventive health in the next three to five years. What changes do you expect to make to your benefits strategy? Increase employee cost sharing Increase employee premiums Increase wellness & preventive health programs Introduce high-deductible health plans Reduce covered benefits Shift to defined contribution Use narrow networks of hospitals and physicians Purchase health insurance from a nontraditional company 5% Terminate company subsidy for full-time employee coverage 11% 5% 18% 11% 28% 28% 18% 34% 34% 28% 52% 34% 62% 52% 62% 52% 69% 68% 62% 69% 68% 69% 68% The larger the company, the more emphasis on wellness. Companies with 1,000–2,499 workers expect to maintain 18% their investment in wellness, and companies with more than11% plan to invest even more. 2,500 To the best of your knowledge, is your company likely to start, increase, maintain, or decrease investments in 5% employee health and wellness in the next 1–3 years? Decrease investment Increase investment Maintain investment Don’t know Start to invest in wellness Start to invest in wellness Increase investment Maintain investment Decrease investment Don’t know 9% 50–100 employees 50–100 employees 8% 101–999 employees 101–999 employees 21% 9% 8% 27% 42% 21% 27% Increase investment 47% 50% 42% 50% 47% 50% 47% 13% 9% 10% 13% 6% 9% 10% 6% 5% 1,000–2,499 employees 6% 1,000–2,499 employees 6% 9% 50–100 employees 2,500+ employees 6% 2,500+ employees 6% 8% 101–999 employees 1,000–2,499 employees 2,500+ employees Start to invest in wellness Maintain investment Decrease investment 21% 50% 47% 50% 47% 36% 5% Don’t know 36% 13% 10% 6% 2% 9% 27% 42% 50% 6% 2% 6% 5% Source: 2012 Deloitte Survey of U.S. Employers: Opinions About the U.S. Health Care System and Plans for Employee Health Benefits 6% 6% 47% 36% 6% AUGUST 2012 / MANAGED CARE2% 47 http://bit.ly/QrAvpg

Table of Contents for the Digital Edition of Managed Care - August 2012

Managed Care - August 2012
Editor’s Memo
Contents
Legislation & Regulation
News & Commentary
Medication Management
Evidence Review
Compensation Monitor
Private Exchanges: Practice Makes Perfect
Hospitals and Providers Ganging Up on Plans?
Q&A: Kaiser Permanente’s Sharon Levine, MD
God Save the Health Care System!
Future Points to Greater PBM/Plan Cooperation
Formulary Files
Plan Watch
Tomorrow’s Medicine
Outlook

Managed Care - August 2012

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