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The
Behavior Driven Health Plan
is designed to influence four
specific employee behaviors to help control the chronic
diseases
that account for more than 75% of our $2 trillion medical care
costs. Employees who will follow the guidelines pay less for
their health plan than those who don't. Either way, the
employer pays less.
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10%
to 15% savings |
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Fewer
health insurance claims
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Lower
absenteeism rates
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Healthier
employees
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More
productive employees
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Long-term cost control
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60 Second Preview
Problems in Health Plan Design
One of the main issues with current benefit plan designs is
they do not adequately address the problems that run up costs
(chronic diseases).
There is a misalignment between the plan design and desired
outcome. A spreadsheet at renewal time is not a strategy.
Anyone can raise the deductibles and copays and pass costs along to
employees.
At some point, cost-shifting (asking employees to pay more or
reducing the benefits) will discourage employees from seeking
recommended and needed prevention services, thereby leading to
worse health outcomes and increased costs.
The Solution
The Behavior Driven Health Plan eliminates that
misalignment. The immediate savings come from plan design
changes that use incentives to influence employee behaviors to
improve their health. For example, employees who are health
plan members receive incentives for activities like having a
routine PCP exam, lab work, or quitting smoking.
Long-term savings come from ...
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Fewer
health insurance claims
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Healthier
employees
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Lower
absenteeism rates
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More
productive employees
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The
Economics
On
average, most employers can save between 10% and 20% in the first
year without changing the insurance carrier (BCBS, etc.).
The program utilizes deductibles to decrease the cost of your
insurance. Employees earn credits to be used to cover their
deductible by meeting the four key program
activities. This lets them save on out-of-pocket costs and
helps drive them to the care they need to stay healthy and
productive. Each employee can engage in one or all or none
of these suggested health behaviors. Either way, the
employer pays less.
Our
Consultants
Our consultants, Abacus
Employer Health Solutions, have more
than
20 years of experience in
designing programs to drive
employees toward healthy behaviors. The founding
principals have
very
strong behavioral science credentials and their
evidence-based health behavior programs have been
proven to help control health outcomes and reduce medical trends.
You can learn more about Abacus at www.abacushealth.com.
A short 10 minute explanation, either online or in person, will make you
int o
a believer. Should
you get serious about
learning more, the legwork can be delegated.
In
most cases, you won’t have to change insurance companies.
If
you'd like to learn which specific behaviors
will help lower medical trends and how the Behavior Driven Health Plan™
can help lower your costs, either phone me at 508-831-0805 or
click
here to e-mail your contact information.
Russ
Swallow
President
Located
in Worcester and serving health insurance, dental insurance,
disability insurance, HR Technology and other benefits needs of
small to mid-size clients in Worcester County, the
MetroWest area, Massachusetts, Connecticut, Rhode Island,
Pennsylvania and Maryland. |
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