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Medical Plan Design and Administration

For the past 5 years, health care cost trend increases have hovered at 5% year-over-year. For large employers, this number is unsustainable. Each benefit year presents an opportunity to make benefit adjustments to drive employees to high-value providers. In addition, employers can partner with health plans to support their objectives.

Consumer-directed health plans are offered by 90% of Business Group members. The next wave of medical plan innovation is accountable care organization (ACO) plans. Only 3% of Business Group members directly contract with an ACO while another 18% are promoting ACOs through their health plan. These plans show promise for influencing the way care is delivered, which sets them apart from other traditional plan designs that rely on consumers to disrupt the health care process to reduce costs.

Employers Offering CDHPs, 2010-2019

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Featured Resources

Large Employers' 2019 Health Care Strategy and Plan Design SurveyLarge Employers' 2019 Health Care Strategy and Plan Design Survey
This year, the survey was redesigned to provide insight into large employers' views on the rapidly changing health care environment. This new information accompanies tried- and- true elements of the survey: critical benchmarking information on health care costs, plan design trends and employer initiatives.

Business Health Agenda 2018: Key Insights & Learnings Business Health Agenda 2018: Key Insights & Learnings
Business Health Agenda (BHA) is an annual conference hosted by the National Business Group on Health®, highlighting the latest trends, best practices and innovative tactics for employer-sponsored health benefits and health care initiatives. Read more about the main takeaways from the three day event.

Special Report: The Cost of Employer-Sponsored Health Care Special Report: The Cost of Employer-Sponsored Health Care
Summarizes leading benefits consulting firms and research organizations' projections on employer health care cost trends and key issues around employer-sponsored health care.

 

 

Also of Interest

ACO Toolkit: A Roadmap for Employers
Provides a road map on implementing an ACO strategy from assessing market opportunity, understanding ACO readiness, considering plan design options, improving employee engagement and evaluating ACO performance.

Plan Design Network
Join the online forum and exchange information on plan design with other large employers.

Institute on Health Care Costs and Solutions
The Institute’s work focuses on finding effective solutions to the health care benefits costs problem of large employers. Solutions identify and disseminate best practices and innovative ideas for managing cost and improving quality.

 

Also of Interest

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