Best Health Cost Cutters Offer a CDHP and Other Programs
That was a key conclusion of a new survey conducted by Watson Wyatt Worldwide and the National Business Group on Health, according to a news release.
According to the survey, companies most effective at controlling costs have fielded programs that involve quality, health improvement and productivity, data and evidence, and the appropriate use of health care services. For instance, best performers are 17% more likely to offer compelling financial incentives to encourage employee education and participation and 11% more likely to effectively deliver health care information.
Overall, according to the news release, a quarter of
respondents experienced median health care cost increases
of 2.5% in the last two years, compared with an 11% average
for the poorest performers and an overall average of 8%.
In the survey of 573 large companies, the number of
companies offering a CDHP increased from 33% to 38% in the
last year. Forty percent of employers now offer or plan to
offer an HSA, and 26% offer or plan to offer an HRA, the
news release said.
“Curbing health care cost increases is a puzzle for
employers, and consumer-directed health plans are only one
piece,” said Ted Nussbaum, Watson Wyatt’s director of group
and health care consulting in North America in the news
release. “Employers can offer these plans, but it takes
more than that to get employees to enroll. Filling in the
missing pieces of quality, health management and education
will not only help employers solve the puzzle, but also
make these plans more attractive to employees.”
Even though employers are finding the greatest cost-cutting
success by offering a CDHP and other programs, employee
enrollment in CDHPs remains low at 8%, an increase of only
1% from 2006. Employers with 10% or more of their covered
population in a CDHP are holding health care cost increases
to a lower level – 6.5% average – than other employers.
Some employers are also driving enrollment by offering CDHPs as their only option. Currently, 5% are offering CDHPs on a total replacement basis and another 4% will do so in 2008, according to the news release.
The percentage of companies offering a CDHP has included:
- 2002, 2%.
- 2003, 5%.
- 2004, 11%.
- 2005, 21%.
- 2006, 33%.
- 2007, 38%.