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rage Multitier work Select, or narrow, work Variable copays + 14 169。 Copyright 2021 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 2021 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 2021 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 2021 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