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Win an iPad! – 2013 Iowa Employer Benefits Study

About four weeks ago, we started our process of randomly selecting Iowa employers to participate in our 15th annual survey, “2013 Iowa Employer Benefits Study.”  Here is one more reason to participate in this important Study. Correction – two more reasons!

In past surveys, respondents would receive a complimentary copy of the overall Study results – a $300 value. For this reason alone, respondents found it was well worth their time to complete our important survey. This year, in celebration of our 15th year of the study, we are offering a special incentive to participants.  Each organization that completes the survey will be eligible to win one of two iPad 2s. Each iPad is 16GB and valued at $399.

Remember, you can’t win if you don’t participate! If you are unsure whether your organization has been selected to participate, please contact us.

Many thanks to those organizations who have already completed this years’ survey!

To learn more, we invite you to subscribe to our blog.

Health Costs – From Birth to Death

Birth to DeathA recent study, sponsored by the Society of Actuaries, examines how our age and gender impact health care costs. The report, “Health Care Costs from Birth to Death” is a relatively significant study because it examines a more complete picture of health care spending for those who have both commercial health insurance and Medicare fee-for-service coverage – from birth to age 98.

The five key findings are:

  1. An aging population is not an overwhelming driver of health care spending.
  2. Older men are more costly than older women.
  3. Health costs are twice as high for people with cancer or other chronic conditions.
  4. The cost of children’s health care is rising.
  5. Delaying childbirth has shifted the highpoint of young women’s health care spending from the late 20s to the early 30s.

There is a considerable amount of data to digest. The full report can be found at “Health Care Costs – from Birth to Death.” If you prefer the cliff notes version, you can read their press release at: “New Study Tracks Impact of Aging on Health Costs.”

The Health Care Cost Institute provides the data for this report and is a great source of information on recent health care trends and various health-related statistics. 

At David P. Lind Benchmark, we’re always on the lookout and can’t resist finding and sharing data that might be of interest to others!

To learn more, we invite you to subscribe to our blog.

New Era in Iowa Healthcare (Needed)

Value in Health Care DeliveryI’ve recently been visiting with healthcare providers around Iowa discussing how employers view health insurance and the value of healthcare delivered to their employees and family members. The discussion has been both open and honest. In fact, Iowa hospitals and physicians appear to be both interested and concerned with what they are learning.

My presentations evolve around four key observations that I have made over the past 29 years, both as a benefits consultant (my past life) and as a researcher. The intent of sharing these observations with the provider community is to convey the ‘pain points’ experienced by Iowa organizations regarding exorbitant health care costs and to begin a new dialogue of collaborating resources to find meaningful solutions in our health care world. After all, we are all in this mammoth problem together, right?

Here are my four observations:

  • Observation #1 – Health insurance premiums for Iowa employers have increased by 164 percent from 1999 to 2012. A great deal of uncertainty exists about the future of the health care ‘system.’

Year-after-year, employers continue to pay a handsome portion of the insurance premium. We know that take-home pay continues to erode for employees, as cost-sharing continues upward through increased payroll deductions and benefit plan alterations that include both higher deductibles and out-of-pocket maximums. This is clearly unsustainable for ALL of us. For communities to remain healthy and vibrant, employers must find solutions to this escalating problem.

  • Observation #2 – Iowa employers continue to embrace wellness initiatives, as they desire to have a healthier and more productive workforce.

Gradually we are morphing into a new social conscience of embracing healthier lifestyles – as more Iowa employers continue to assess and implement wellness efforts. We also have the Healthiest State Initiative and Blue Zones Projects™ in the news. The statewide Capital Crossroads Community Wellness Study reported that Iowa employers are open to partnering with community-wide wellness programs. For those employers currently without wellness programs in place, only three percent feel that wellness programs don’t work! This is encouraging.

  • Observation #3 – Lack of transparency in health care is a major concern and frustration to Iowa employers and their employees. Health insurance has become a major distraction to employers.

There is a growing belief that the ‘market’ approach does not work for ‘buyers’ of health care. In the next few years, will we see a gradual shift by employers to a more defined contribution approach by limiting financial support for employee premiums? Will value-based benefits begin to take hold that will nudge employees to use ‘higher value’ health providers and utilize approved medical procedures requiring less out-of-pocket exposure? Transparency of costs and outcomes are essential for the private market(s) to exist as health providers WILL definitely be held more accountable in the future.

The Accountable Care Act (ACA) will not solve the cost issue for employers and their employees. In fact, the ACA adds greater complexity in the insurance markets, forcing employers to search for opportunities that will relieve tensions and uncertainties. A ‘Provider Renaissance’ is sorely needed to deliver great value for the insurance premium being paid.

So what does all of this mean to the healthcare provider community?

Employers want to TRUST that hospitals and physicians will:

  1. UNDERSTAND the employer perspective, which is the need to be competitive by having a healthy workforce. Health providers must have the employers’ best interest in mind.
  2. CONSISTENTLY provide quality outcomes at reasonable costs – i.e. receive greater value for the dollar paid.
  3. COMMIT to do these critical things on an on-going basis – long term.

As mentioned in a prior blog, our fragmented delivery system is really not a “system,” but rather a concoction of multiple temporary or expedient remedies that attempt to solve our problems as we confront our health care needs. No one is at fault, yet we ALL are.

Now is the time for employers and the healthcare provider community to work together – starting with a meaningful and trusting dialogue that will result in concrete solutions.

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