healthcare costs Archives

Managing Employee Healthcare Costs in 2021

by LizStevens | Nov 4, 2020 | Blog

Managing employee healthcare costs in 2021. What the average health insurance premium costs and changes employers are making to health benefits offerings in the new year.

The ever increasing cost of healthcare combined with uncertainty about coverage, deductibles and copays keep some employees from getting the medical care they need.

More than 40 percent of employees have deferred medical care because of financial concerns, according to research by Willis Tower Watson. According to the Kaiser Family Foundation, the average annual premium is $7,470 for single coverage and $21,342 for family coverage in 2020. The average family premium has increased 55 percent since 2010 and 22 percent since 2015.

In spite of these increases, 56 percent of employers don’t plan to make any changes to reduce medical plan costs in 2021. Indeed, many plan to add new resources to better support healthcare needs in light of COVID-19.

Managing Employee Healthcare Costs in 2021

Employers are focused on improving employee healthcare by adding virtual or telehealth offerings and including voluntary benefits in 2020, according to research by Mercer. The good news is that both of these initiatives can help reduce healthcare costs.

Over 25 percent of employers are adding digital healthcare resources, like telemedicine for episodic care, artificial-intelligence-based symptoms triage, ‘text a doctor’ apps and virtual office visits with a patient’s own primary care doctor. These options are often less costly than traditional visits and are especially helpful during COVID-19 when physical visits aren’t always an option.

More than 20 percent of employers plan to add voluntary benefits, such as critical illness insurance or a hospital indemnity plan. Voluntary benefits are low-to-no-cost for employers because employees pay for them and maintenance is often handled through payroll deduction. They’ve risen in popularity in recent years as it became clear that a one-size-fits-all group benefits model wasn’t working for a multigenerational workforce. Voluntary benefits let employees personalize their level of coverage and choose a benefits plan that fits their needs without a significant impact on employer health spending.

Managing Out-of-Pocket Costs in 2021

Just 4 percent of employers plan to prioritize limiting surprise or balance billing in 2021, but many employees receive surprise medical bills they can’t afford to pay.

According to a survey by HealthCareInsider, 28 percent of employees received a surprise medical bill in the past year. A similar percentage said they carry medical debt and for 65 percent their medical debt exceeds $1,000. Nearly 60 percent of employees are concerned a health scare in their household could lead to bankruptcy or debt.

Fears about the costs of healthcare haven’t necessarily led to a change in benefits behavior. The vast majority of employees (92 percent) choose the same benefits year after year and spend an average of 33 minutes or less on the task.

Employers should make working with health insurance brokers to help employees better understand the difference between healthcare plans and estimated out-of-pocket costs for various services a higher priority. It’s a strategy that can reduce healthcare costs and assist in other employer initiatives, like reducing financial stress and increasing productivity.

What’s Wrong With Wellness Program Incentives?

by LizStevens | Dec 4, 2018 | Blog

What’s wrong with wellness program incentives? ROI isn’t proven, employees feel forced into participation, and worse, wellness programs can increase weight-based discrimination and stigma in the workplace, which results in increased obesity and decreased well-being.

Workplace wellness programs have long been criticized as ineffective and lacking ROI, but financial incentives for wellness program participation are even more controversial.

Depending on what the financial incentive is, failing to participate could cost an employee hundreds or thousands of dollars. It then becomes a question of whether participation is truly voluntary, or if employees are being coerced.

The Equal Employment Opportunity Commission (EEOC) set a limit for what employers could offer employees to join in on wellness programs in 2016 (30 percent of an employee’s health insurance costs). Earlier this year, a judge vacated that arbitrary limit and the EEOC said it would not produce a new number until 2021.

That means there aren’t specific guidelines for employers putting together next year’s wellness benefits to follow. It’s worth considering whether incentivizing program participation is a good idea or just a waste of money.

New research from Frontiers in Psychology found wellness programs can actually lead to increased obesity and decreased well-being. Programs that put the responsibility on employees made them believe their weight is blameworthy. It led to increased weight-based discrimination and stigma in the workplace, a consequence surely no employer intended.

Wellness programs framed from an organizational standpoint were able to avoid increased stigma. What does that look like? An employer providing healthy snacks, standing desks, or offering reimbursements for gym memberships gives employees opportunities to improve their health without shaming them, versus ‘biggest loser’ challenges that are sure to make employees more self-conscious and could fuel disordered eating habits.

Employers look to wellness programs to reduce astronomical healthcare costs and take back some of the $530 billion that poor employee health costs in lost productivity from nearly 1.4 billion days of missed work each year. However, most employers now realize offering wellness programs isn’t enough. Employee engagement with wellness benefits is low, which is why providing a financial incentive for participation seems like a great idea (and in some cases, it still can be).

Nearly 20 percent of employees are either unaware of or don’t understand how to use the wellness benefits their employer offers. Clear benefits communication is vital to program success, and a process to improve before offering financial incentives for participation. Employees need to know what’s being offered, and more importantly how it works and who to contact if they have questions.

Unless conflicting research emerges proving significant ROI for employers who provide wellness benefits initiatives, employers are better off spending those funds elsewhere. A focus on improving benefits communication and creating a culture that encourages healthy habits has the potential to boost job satisfaction, productivity and reduce employer healthcare costs. Organizational and procedural changes might require some effort, but they’re low-cost solutions to the issue of benefits engagement.

Want to Reduce Your Employee Healthcare Costs? Start by Reducing Employee Financial Stress

by Josh Watkins | Jul 19, 2018 | Blog

Smart employers know that being proactive about the flu season can aid the bottom line by keeping employees healthier and reducing sick days. But they may not realize that becoming proactive about employee financial stress can also boost productivity and profitability.

“The latest studies show that when you’re stressed you get sick. And, when you get stressed about money, you can get really sick,” notes Best Money Moves Founder and CEO Ilyce Glink.

A Propeller Insights study of more than 1,000 U.S. adults found that 30 percent reported feeling “constant stress” about money, while 85 percent were “sometimes stressed.”

The American Psychological Association reported similar results in its latest “Stress In America” report. About one-third of respondents fear unexpected expenses. Thirty-percent experience stress when thinking about saving for retirement, while 25 percent find the ability to pay for life’s essentials stressful.

“The impact of financial stress is pervasive, negatively affecting not only the employee’s financial well-being, but also their physical well-being, engagement, productivity, absenteeism and even loyalty,” PwC wrote in a special 2017 report on stress and the bottom line. “All of these factors can come at a considerable cost to the employer.” For a company with 10,000 workers, the productivity cost of such distractions is estimated at $3.3 million per year.

It is well known that stress harms people via negative reactions on the body, mood and performance. Issues can be as short-term like a headache or more involved, such as sustained drug and/or alcohol use.

The APA reported more deeply on how stress affects each body system:

Musculoskeletal. Muscles tense up as almost a reflex reaction to stress. Chronic stress can possibly trigger other reactions such as a migraine.
Respiratory. Stress can make a person breathe harder, possibly leading to asthma or panic attacks.
Cardiovascular. Stress can cause an increase in heart rate and stronger contractions of the heart muscle. Eventually blood pressure can rise and, in serious cases, this can lead to an increased risk of hypertension, heart attack or stroke.
Endocrine. When the body is stressed, so-called stress hormones can affect the adrenal glands, cause the liver to produce more glucose, a potential issue for those vulnerable to Type 2 diabetes.
Gastrointestinal. Stressed individuals may eat more or less than normal. Stomach aches become more likely and chronic stress could lead to the development of ulcers.
Reproductive. In men, chronic stress can affect testosterone production and sperm production and maturation. For women, stress can affect menstruation, fuel PMS or cause fluctuating hormones.

Employers have long offered on-site gyms or discounted membership to help reduce stress. Others have enhanced employee benefits with boosted vacation time and emphasized work-life balance.

But more are offering financial wellness platforms that go beyond helping plan for retirement.

PwC suggests that employers look to “change both money attitudes and everyday behaviors that have lasting effects.” When this mantra becomes part of company culture, employees see their peers facing similar challenges and benefiting from a company support system that, according to PwC’s study, helps get spending under control, pay off debt, save more for major goals, better plan for retirement and/or better manage healthcare expenses.

This post was written by guest author, Chris Hardesty, who is a financial writer.

Your Employees Are Stressed About Healthcare Costs. What Can You Do?

by Leah Rosen | Feb 19, 2018 | Blog

Healthcare costs are the leading cause of financial stress for 17 percent of Americans, according to a 2017 Gallup poll gauging household stress. As uncertainty around the fate of Affordable Care Act mounts, this stress is only getting worse for your employees – and more expensive for your business.

Fifty two percent of male employees and 58 percent of female employees worry about becoming ill and not being able to work anymore, according to the 2017 Workplace Benefits Report. Financial stress leads to lower productivity and higher rates of absenteeism – this stress is even causes physical illness among some employees which only compounds the problem.

What can you do when healthcare costs leave your employees financially stressed? Try these 5 strategies:

1. Understand which healthcare-related stressors are affecting your employees
Your employees may be feeling massively stressed about their healthcare, regardless of their employee-sponsored benefits programs. The costs associated with monthly coverage, the difficulties of navigating confusing plan options and the weight of outstanding medical bills continue to stress out employees. Talk with your team as well as your HR department to determine exactly how healthcare may be contributing to your employees’ stress levels. This will allow you begin taking the appropriate steps to resolve these healthcare-related stressors.

2. Reassess the healthcare resources you already have
Once you understand the root cause of your employees’ stress, begin to review the healthcare resources you already have in place to help them. It may be time to diversify your approach. Reach out for external resources in order to analyze existing data.

Request assistance and information directly from your company’s insurance provider and its agents.
Reach out to company-linked financial advisors for relevant employee data
Access your company’s existing financial wellness programs in order to evaluate your employees’ stress levels, major financial concerns and overarching long term personal and professional goals.

If your company doesn’t currently retain all three of the above, it’s time you change that. These professional services assist you with educating yourself and your employees on how to maximize their healthcare benefits.

3. Provide your employees with the tools they need to educate themselves.
Your employees want to take control of their financial stress – many of them just don’t know where to start. Do your employees know the difference between an HMO, PPO, EPO, or POS? Between a copay and coinsurance? Do they understand how the size of their deductible will affect their monthly payment? Do you?

Improving employee literacy around healthcare is paramount to reducing employee stress and improving both their healthcare usage and your company’s savings. Look for tools through your insurance provider and if you don’t have one already, finding a financial wellness platform that will break down complex laws and regulations into readable, consumer-friendly language. By empowering your employees to take an active and supported role in researching their options, you’re helping them make educated and informed decisions. This translates into nearly $409.38 in savings for your company – per procedure, per employee.

4. Help your employees stay on top of recent changes to the healthcare system.
Healthcare stress is the highest it’s been since 2007, according to the same Gallup poll. This rising stress is tied in no small part to the uncertainty surrounding the future of the Affordable Care Act and what legislation might take its place. Whether your employees are receive insurance through you or the open market, stay aware of the changes happening in the world of healthcare – and make sure your employees do the same. Encourage employees to be proactive in gathering their own healthcare information. Task HR with maintaining effective outreach strategies including email updates, written literature in clear, readable language, face-to-face meetings and regular surveys. Host recurring employee workshops or lunch-and-learns to catch employees up on the latest changes to their plan options. Keeping employees up-to-date on the latest changes to their healthcare will cut down on employee stress, keep you connected with your workforce and keep your company’s overhead in check.

5. Make sure your employees are using the healthcare resources you already provide.
Employee benefits are useless if no one uses them. Employees who understand and utilize their benefits are more likely to be satisfied with their employer and recommend their organization as a good place to work, according to research from the Society for Human Resource Management. Yet, 80 percent of employees don’t even open the benefits materials given to them and of those who do, less than half don’t fully understand the benefits options available. In-person communication is the best way to cover confusing, and often changing, healthcare benefits. Make sure that resources about provided benefits – and about healthcare in general are easily accessible online.

Increase your employees’ access to their benefits resources. Create an environment that allows you to ensure that your employees are less stressed and more productive. That’s good for the health of your employees – and your business.

Open Enrollment and Financial Stress: What Employees Need to Know

by Ilyce Glink | Nov 2, 2016 | Blog

One of the biggest sources of financial stress Americans face is healthcare: both finding the coverage they need and the cost of obtaining it.

Open enrollment season for the US Health Insurance Marketplace is here and it’s time for those employees without adequate coverage (an estimated 13.8 million) to choose their plans and prepare for the associated costs. Unfortunately, this period can cause confusion and financial stress, especially if your workers don’t have a clear understanding of what they need to do and how much it will cost.

Here are some of the biggest issues that come up during enrollment season and what you can do to guide your employees through this process.

1. Deciding between old and new healthcare coverage

Open enrollment is the time of year when your employees are able to choose a new healthcare plan that covers their medical needs and, if the employer will pay for it, those of their family. Unfortunately, the easiest option is to not make any changes at all, and simply proceed with the same plan from last year. For many employees, this could mean overpaying or paying for coverage they don’t need. Your workers will then stress their budgets and leave themselves vulnerable in the event they need care for which they don’t have coverage.

The best way to conquer this hurdle is to ensure your employees are aware of their options and their responsibility to choose a plan. If you don’t provide this benefit, encourage your employees to compare new plan options to their current coverage by sending them to Healthcare.gov. That way, they can get started with the right resources and see if there’s a better plan option for them.

2. Figuring out what’s affordable and adequate

Once your workers know where to start, they’ll need to find the best coverage for their health needs. This should start with them reviewing their prior plan, seeing which coverage they still need and determining if there’s any coverage they no longer want or something new they need. Health Insurance Marketplace plans all cover things like pre-existing conditions and preventive care, so your workers don’t need to concern themselves with missing out on these offerings.

Your employees do need to worry about whether they can afford the coverage they want. Often – unless there’s an ongoing medical issue for which an employee needs specific coverage or they require a plan for their dependents or they want to keep the same doctors or providers – the most common issue is choosing between plans with higher deductibles or higher premiums.

A higher deductible means their budget is less stressed now, but costs may have to be covered out of pocket when they receive care, whereas a higher premium adds to their monthly bill now but often means lower out-of-pocket costs for future care. Finding the right balance can help lower their level of financial stress.

3. Understanding the deadlines and penalties

In addition to understanding their coverage, your employees must be aware of the deadlines for choosing a plan and the penalty for going without.

The current enrollment season runs from November 1, 2016 through January 31, 2017, though employees must choose a plan by December 15th in order for it to be effective starting January 1.

Your workers must meet these deadlines or they’ll risk having to pay a penalty of at least $695 on their federal tax returns for not having healthcare coverage. That fee could be even higher as it can also be calculated as a percentage of their income (2.5 percent in 2016).

This is a substantial bill, especially when you consider how little most Americans save. If you want your workers to avoid this additional financial stressor, take the time now to help them find the right health care coverage.

For more information about Best Money Moves, email info@bestmoneymoves.com.