Corporate Systems
Administration examines new ways to reduce health care budgets
Imagine employees saving
up wellness benefits much like a retirement plan. As health care costs have
continued to spiral, the newest cost containment incentive plans radically
challenge the status quo of managed care.
Employers, facing
double-digit inflation in health care costs, have been reluctant to eliminate
benefits or to pass on much of the financial burden to employees. One strategy
has been to implement tiers of pharmacy benefits to encourage treatment with
less costly generics or older medications. But research is showing that some of
the newer, more expensive medications lead to better results, which reduce the
need for more medical services and reduce costs.
Benefit tiers have worked
to educate employees about prescription costs. Better education, employee
incentives and interventions, which really help reduce high-risk behaviors that
lead to chronic illness, are all very important for long term cost containment.
Using online services is
an excellent way to enhance employee education. At our Web site, www.csabenefits.com,
Corporate Systems Administration Inc. offers automated services to improve the
accuracy, consistency and speed of claims processing. In addition, both
employer and employees can go online to keep track of their health care
expenses on a daily basis – a decision support tool that helps employees take
control and responsibility for managing benefits.
According to a recent
Watson Wyatt survey on the Changing Role
of Health Care Benefits, more than half of employers responding to a survey
said they plan to beef up efforts to provide decision support.
Another trend is
converging to radically encourage employee “consumerism” – plans designed to
let employees actually self manage and personally choose and pay for services.
Some plans reward healthy employees by allowing them to share in the benefit of
money left over in their personal “care account.”
According to a report by
Ernst & Young, “The trillion-dollar American health care market is on the
brink of its biggest transformation yet. The primary force behind this change
is not technology or managed care, but the growing mass of educated and
empowered health care consumers.”
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Visit CSA
on the World Wide Web at www.csabenefits.com