Caitlin Owens June 20, 2019
Employers
will likely step up their efforts to rein in health care costs next year, a new PwC Health Research
Institute report predicts, partially because they've nearly
maxed out their ability to offload costs onto employees.
What
they're saying: "2020 likely will be, in some ways, a turning
point in the long arc of employer-sponsored insurance, a year in which more
employers fight back," the report's authors write.
The big
picture: Employers' medical costs are expected to rise by 6% next year,
thanks to drug costs, chronic diseases and greater access to mental health
care.
- Employers
have handled rising health care costs over the last decade primarily by
increasing employees' cost-sharing, but that strategy may have run its
course.
- At
least one-third of employees in the HRI survey said they didn't have
enough money saved to pay their deductible.
- Employers
“are at a very interesting kind of crossroads ... and now it's time to get
active and start working on price," said Ben Isgur, HRI's leader.
Between
the lines: Nothing keeps business' health care costs in check better than
healthy workers — and employers are getting increasingly hands-on in
that pursuit.
- They're
getting more active in the delivery of primary care, including worksite
health clinics. Some are also negotiating contract prices and setting up
their own provider networks.
- Employers
can also nudge employees toward lower-cost providers and more efficient
forms of care — for example, trying physical therapy before surgery.
The
bottom line: Employers are the health care system's sleeping giant. Prices
will go down when employers decide to use their massive political and financial
leverage.
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