1 / 15

HealthCare Forum

Controlling Healthcare Costs While Improving Quality: Employee Benefits Donald L. Eddleman, Partner efg&m, L.P. 512.671.9385 don@efgmbenefits.com. HealthCare Forum. Locally owned and operated Independent Employee Benefits firm We work with small to mid-size companies (2-900)

omana
Download Presentation

HealthCare Forum

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Controlling Healthcare Costs While Improving Quality: Employee BenefitsDonald L. Eddleman, Partnerefg&m, L.P.512.671.9385don@efgmbenefits.com HealthCare Forum

  2. Locally owned and operated Independent Employee Benefits firm • We work with small to mid-size companies (2-900) • Employee Benefits (Health Ins) is generally the 2nd to 4th largest expense for these employers • Our challenge – to design and implement affordable Employee Benefit packages to attract and retain quality employees

  3. Affordability Gap

  4. Strategies for Managing Health Insurance Cost • Plan Designs • Multiple Option Plan Offerings • Consumer Driven Health Plans • Employer’s Contribution Strategy

  5. Benchmarking Average Deductibles in Texas Source: Data from one of the big four insurance carriers in Central Texas

  6. Plan Offerings • Plan Designs • Deductibles • Coinsurance • Copays • Prescription Drug Benefits • Multiple Option Plan Offerings • Base Plan • Buy Up Plan • CDHP

  7. The logic behind Consumer Driven Health Plans Consumers share additional cost through tax favorable accounts such as HSAs • To get the consumer more engaged with their health care decisions • To reduce unnecessary utilization • The idea is that consumers will be better stewards with their own healthcare dollars

  8. Consumer Driven Health Plans (CDHP’s) • Health Reimbursement Accounts (HRA) • Employer sponsored plans.   • Health Savings Accounts (HSA) • HSAs are individual accounts that employers sometimes choose to contribute to.

  9. HSA with Qualified High Deductible Plan HSA COMPONENTS HDHP High Deductible Health Plan THE INSURANCE PIECE • HSA • Health Savings Account • THE ACCOUNT TO FUND DEDUCTIBLE TAX-FREE Insurance Company Financial Custodian

  10. Health Savings Account • Maximum contribution for 2012: (contribution deadline is April 15th) • Individual - $3,100 ($3,050 for 2011) • Family - $6,250 ($6,150 for 2011) • Family = employee + 1 or more dependent(s) • Catch-up Provision – Age 55 and older can contribute an additional $1000.00 each year • Un-used balance carries over each year • Portable (i.e. you take your account with you if you leave) • Contribution can be made through payroll deductions, online directly, or by check • Interest-bearing account

  11. Are CDHP’s changing behavior?

  12. Wellness 101 – Costs follow Risks

  13. don@efgmbenefits.com 512-671-9385

More Related