翰威特--healthcareconsumerismppt17英文版！-經(jīng)營(yíng)管理-資料下載頁(yè)
【導(dǎo)讀】TheBroadView. Presentedby:. JackE.Bruner,FSA. 524panies. 6+millionemployees. Averagepany:. 12,611employees. PrimarilyHR. andBenefit. Leaders. Consumerproducts. 12%. Pharmaceuticals. 4%. Manufacturing. 13%. Financial. 7%. Technology. 4%. Healthcare. 9%. Retail. 9%. 4%. Insurance. 7%. Professional. services. 8%. Energyproduction/. Transmission. 2%. Other. 2%. Printing,Publishing&. Communication. 2%. Utilities. 4%. Government/. Education. 8%. Telemunications. 3%. Chemicals. 3%. Transportation. 2%. Traditional. HMO. EPO. POS. PPO. Indemnity. MedicareAdvantage. PrescriptionDrugs. 12%. 12%. 11%. 11%. 12%. 9%. 13%. ConsumerDriven. BuildYourOwn. Multi-tier. Select. CDHP(account-based). 7%. 8%. 9%. 10%. StrategicDirection. 25%. 26%. 36%. 50%. 59%. 49%. 51%. 46%. 16%. 15%. 14%. 14%. dependentcoverage. Providerworks. singlecoverage. Benefitdesignand. alternatives. StrategicDirection. strategies. 27%. 27%. 25%. 19%. 19%. 13%. 9%. 8%. 8%. +. TraditionalPlans. PPO. POS. HMO. EPO. Account-basedCDHPs. BuildYourOwn. SelectNetworks. Multi-tierNetworks. UsingHealthCare. HealthChoices. PhysicianChoices. HospitalChoices. +. Copays. $20. Coinsurance. 20%. Carrots+Sticks. ●$2Generics. ●30%Brands. “BuildYour. Own”。HealthPlan. Health. Savings. Accounts. Mandates/. Closed. Networks. +. HealthPlan. Coverage. $2,000/year. deductible. 90%/70%. Coinsurance. Health. Savings. Account. $1,000. Gap$1,000. Employerdeposits. $1,000intoan. employee’sHSA. Employerprovides. PPOcoverageabove. thegap. Employeeis. responsiblefor. $1,000gap. Usedbyemployees. forroutinecare;unu
【正文】 rage Multitier work Select, or narrow, work Variable copays + 14 169。 Copyright 2020 Hewitt Associates LLC Hospital Selection 17%11%9%8%6%Strategies to Encourage Employees to Use Costefficient Hospitals Leapfrog quality data Hospital cost data Select work Multitier work Hospital quality data + 15 169。 Copyright 2020 Hewitt Associates LLC Prescription Drug Coverage 27%45%77%25%22%19%16%Design Incentives Use a coinsurance approach Step therapy Mandatory generics Mandatory mail order Use a threetier design Use a twotier design with generous generic coverage Therapeutic MAC/reverse copays + 16 169。 Copyright 2020 Hewitt Associates LLC How Can We Get There? ? 81% want to be active employers ? 91% believe consumer education is important or critical to achieve cost goals ? Fewer than 5% believe employees are ready and able to be active coinsurers ? Under 20% are fully prepared to have the procurement expertise, consumer health expertise, and technology platform for the emerging environment 17 169。 Copyright 2020 Hewitt Associates LLC In Summary ? Understand the environment and the opportunities ? Escape the averages—explore the edges ? Create the individual incentives and opportunities ? Build the capacity and infrastructure to support change ? Support a winwin agenda
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