A Towers Watson news release about the poll said little relief is in sight, with the vast majority of respondents expecting higher medical costs over the next five years.
Globally, the average medical cost trend is expected to be 10.5% in 2011. Respondents in Latin America and North America project the largest average medical trend for 2011 (13.7% and 11.6%, respectively).
Only European respondents expect a single-digit average medical trend (9.1%) for 2011. Medical cost trend is expected to be 2.5 percentage points higher in emerging economies than in advanced economies. Virtually all respondents (95%) show a medical trend that is two or three times the rate of general inflation. Without inflation, the average global medical increase for 2009 was 6.9%.
The survey also found that, while medical trend increases have slowed recently, nearly three out of four respondents (72%) expect costs to rise over the next five years. The most significant factors driving medical cost increases are new medical technology and the overuse of care, which are cited by 65% and 56% of respondents, respectively.
“The growing demand for private health care, particularly in developing nations, has placed enormous upward pressure on the cost of providing this valuable employee benefit,” said Francis Coleman, a senior international consultant at Towers Watson, in the news release. “With double-digit medical cost increases now the norm, there appears to be a shift among employers and insurers toward a more holistic and consumer-directed approach to health care – one that helps employees to become more aware of risks and more responsible for maintaining a healthy lifestyle.”
The survey noted that interest in wellness programs is growing in all regions, with most respondents adding some form of wellness feature to their health care offerings. Towers Watson said globally, nearly three out of four respondents (72%) offer employees lifestyle and health education programs, while 63% offer personal health assessments. Four in 10 respondents (40%) reported offering chronic condition or disease management programs.
The survey was conducted in September and October of 2010 and includes responses from 170 leading health insurers that provide medical insurance solutions to employers in 37 countries throughout Asia, Africa, Europe and the Americas.
The survey report is here.