Managing Employee Healthcare Costs in 2021

Managing Employee Healthcare Costs in 2021

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.

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Preparing for Virtual Open Enrollment in 2020

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Preparing for Virtual Open Enrollment in 2020

Preparing for Virtual Open Enrollment in 2020

Preparing for virtual open enrollment in 2020. How employers can utilize employee data and streamline communications for successful virtual open enrollment.

Employers are preparing for virtual open enrollment as many employees continue to work remotely during the COVID-19 pandemic.

It’s more important than ever that employees make informed decisions about their benefits because many organizations have been forced to make significant changes to their benefit plans as they face new economic uncertainty. But that doesn’t mean they will. A survey by MetLife found that employees dread open enrollment almost as much as going to the DMV to renew their driver’s license and 20 percent of them spend only a few minutes reviewing benefits plans before making a selection.

In order to reduce unnecessary costs and ensure that employees enroll in the programs that best suit their needs, employers need to utilize employee data and streamline benefits communications for successful virtual enrollment.

Preparing for Virtual Open Enrollment in 2020

Managing Costs While Meeting Needs

Employers are walking a fine line as they strive to lower program costs while still meeting the needs of their employees. 

Their primary challenges when it comes to healthcare cost-management are the high cost of medical services (67 percent) and specialty drugs (47 percent), according to research by Gallagher. In an effort to reduce unnecessary costs, employers are conducting audits of plan eligibility (18 percent) and claims (15 percent), as well as considering narrow provider networks (14 percent), designated centers of excellence (10 percent) and integrated health and disability management programs (9 percent). 

COVID-19 has also accelerated a trend towards telemedicine as a cost-control tactic. Telemedicine provides employees with socially-distanced care options and is often less costly than standard office visits or trips to emergency rooms and urgent care facilities.

Utilizing Employee Data and Streamlining Communications

Nearly 65 percent of employers use employee-initiated feedback and 45 percent rely on satisfaction and engagement surveys to measure their communication success. Gallagher encourages employers to take a closer look at the data they have at their disposal, like web analytics and portal visits to determine what’s working and what isn’t.

When it comes to communicating for successful virtual open enrollment, employers should focus on sending smaller bite-sized benefits communications that employees can more easily digest, rather than overwhelming all-in-one emails that they’re likely to just skim, if they read them at all. It will also help to clearly identify who employees can reach out to with any questions about programs or offerings.

Open enrollment is just as stressful for employees as it is for employers and moving it fully online inevitably creates some challenges. Sending less bulky communications that break down the process without complicating it will help employees pay closer attention and enroll in the benefits that they can use most.

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How Will the Coronavirus Impact Your Business?

How Will the Coronavirus Impact Your Business?

How will the coronavirus impact your business? Employers respond to the spread of COVID-19 with strategies to help employees who don’t want to get tested or take time off.

Update: The number of coronavirus cases and deaths in the U.S. were updated as of April 13th, 2020.

The Center for Disease Control (CDC) is monitoring an outbreak of respiratory illness caused by the new coronavirus, COVID-19. Over 500,000 cases have been detected in the U.S. since January 21, 2020, resulting in over 20,000 deaths

There are a lot of workers out there who don’t have emergency savings and skip medical treatments they can’t afford. If those employees get sick, they might try to “push through it” and bring the virus to the workplace, infecting colleagues and further limiting productivity. 

Mercer has released a report to help employers understand how the spread of the coronavirus will impact their employees and how they should respond to it.

How Employers Are Responding to COVID-19

The initial employer response to the coronavirus has been to stay informed, protect and minimize exposure and take precautions, according to Mercer. This is what companies are specifically doing to minimize COVID-19’s impact on their business:

  • 96 percent of employers are not ending expatriate assignments.
  • 72 percent postponed nonessential travel to countries where there are confirmed cases of the COVID-19.
  • 68 percent are providing hand sanitizer in the workplace.
  • 58 percent are arranging for greater flexibility to work from home.
  • 58 percent are requesting self-quarantine of 14 days for staff that recently traveled to mainland China. 
  • 48 percent are providing masks in the workplace.
  • 43 percent have instituted a mandatary self-quarantine. 

How Will the Coronavirus Impact Your Business?

Nearly 90 percent of global employers are concerned about how the coronavirus will impact their businesses. Over 20 percent of employers are lowering threshold or target goals, changing or adding performance metrics, isolating China business and providing for automatic adjustment for the impact of the virus or allowing for discretionary adjustments at the end of the performance period to account for COVID-19’s impact on business results. 

Employers fear a serious impact if a large proportion of their workforce is ill. In the U.S., where employees going to work with a common cold happens regularly, it’s a valid concern that an employee with untested COVID-19 could come to work and spread the illness throughout the workplace. Mercer recommends employers listen to what employees are asking for, address their concerns, set firm policies to keep sick employees away from work and provide protection or prevention supplies onsite to limit the impact of the coronavirus. 

Review Your Business Continuity Plan

Mercer also suggests that employers review their business continuity plan to ensure they have a plan in place to handle global outbreaks of pandemics like the coronavirus. A good business continuity plan ensures continuity in the event of a disaster, enables ongoing operations and outlines procedures and instructions to follow in the face of a disaster; whether it is a natural disaster such as an earthquake or hurricane; a fire; a cyber-attack or a medical epidemic.

Employers can minimize employee panic by keeping up to date on reports from government entities like the World Health Organization, communicating updates frequently, following government guidelines, listening to employees and providing protection or prevention supplies. 

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How to Help Employees Prepare for Open Enrollment 2020

How to Help Employees Prepare for Open Enrollment 2020

How to help employees prepare for open enrollment 2020. Being more knowledgeable about health insurance benefits will help them enroll in the plan that’s right for them.

U.S. workers dread open enrollment almost as much as going to the DMV to renew their driver’s license, according to a survey by MetLife. 

This level of apprehension may explain why employees make hasty benefits decisions. One in five employees spend only a few minutes reviewing benefits plans before making a selection. Another survey by UnitedHealthcare found nearly 40 percent of employees devote less than one hour to the open enrollment process.

It’s unfortunate employees are rushing benefits decisions, especially when employers are taking a more active role in driving down healthcare costs.

What can employers do to help employees better understand how different health insurance plans affect out-of-pocket costs for healthcare?

Terms Employees Need to Know for Open Enrollment 2020

One reason workers dislike the open enrollment process could be because they don’t understand the terms used when discussing health insurance and healthcare costs. UnitedHealthcare found that some workers struggle with health literacy and defining terms like:

  • Health Plan Premium – The amount of money a person pays for a health insurance plan each month. (Only 59% knew the correct meaning.)
  • Health Plan Deductible – The amount a person pays for health care services before insurance coverage starts. (Only 53% knew the correct meaning.)
  • Out-of-Pocket Maximum – The maximum amount a person must pay for covered health expenses during a plan year. (Only 33% knew the correct meaning.)
  • Co-Insurance – The share of costs for a covered health care service a person must pay after health insurance coverage is factored in. (Only 21% knew the correct meaning.)

Misunderstanding these terms when selecting health insurance benefits could lead to higher premiums, co-pays and out of pocket costs. 

Additionally, just over half of employees check if their doctors are in-network for the health plan they select. If their doctor happens to be out-of-network on their new plan, it could lead to serious headaches over higher co-pays or finding a new doctor that is in-network. 

How to Help Employees Prepare for Open Enrollment 2020

Seventy-five percent of employees told UnitedHealthcare they felt prepared for open enrollment, but there’s a disconnect somewhere since most employees struggled to define basic health insurance terms. 

Clearly, there are a lot of factors that employees need to consider when selecting healthcare benefits during open enrollment 2020. Here are four ways that employers can communicate with employees about open enrollment to increase their understanding of the process and prompt them to review selections more diligently:

  1. Build a guide, checklist or cheatsheet for employees to use when reviewing available benefits. 
  2. Hold a meeting before open enrollment to go over changes in costs and healthcare offerings.
  3. Send out an email before open enrollment that goes over terminology and the factors employees should consider when selecting their healthcare plans.
  4. Designate a contact for questions. If an employee has a question about open enrollment should they ask their direct supervisor? A member of the HR team? Call a representative from the insurance broker?

“Employees have the unique opportunity to leverage a growing number of benefits from their employers—benefits that are specifically tailored to their needs and the needs of their families,” said Meredith Ryan-Reid, senior vice president, Group Benefits at MetLife. “But first, they need to be armed with a better understanding of how these employer-offered benefits can play a central role in protecting them against the unexpected and helping them achieve their short- and long-term financial goals.”

More On Healthcare, Health Insurance and Open Enrollment

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How to Reduce Stress in the Workplace: 3 Tips to Start

How to Reduce Stress in the Workplace: 3 Tips to Start

How to reduce stress in the workplace: 3 tips to start. May is Mental Health Awareness Month and here are three ways employers can reduce stress, boost morale and attract talent for better employee morale and a more productive workplace.

Forty-eight percent of employees have cried at work when stressed out, according to a recent report by Ginger. More than 80 percent of employees say they are stressed on a regular basis and 45 percent of workers under 40 are extremely stressed on a daily basis.

Stress has a significant impact on morale and productivity in the workplace. Employees report that they are fatigued, anxious, lacking focus and engagement, irritated with coworkers, producing lower quality work, missing work and missing deadlines.

Less than 30 percent of the workforce seeks professional help for stress. Others cope with stress through self-help books, or worse, a third of employees don’t do anything. More than 90 percent of workers believe their employer should care about their emotional health and 85 percent look at behavioral health benefits when evaluating a new job.

Reducing stress and supporting mental health in the workplace is a win-win. There are three areas where organizations have an opportunity to tackle stress, boost morale and attract talent.

Boost Benefits to Reduce Stress

The good news is that 50 percent of employees are more likely to do something proactive about their emotional and mental health than they were 5 years ago. The bad news is that even if an organization offers behavioral health benefits, employees might not be able to use them. The most common barriers to care are high copays for mental health services and a lack of providers who are in-network.

Employers are getting creative to break through some of these barriers. Ocean Spray, which makes cranberry drinks and sauces, recently announced that it will waive behavioral health copays for its roughly 2,000 employees beginning this summer.

Other organizations are striving to give employees access to more providers who are in-network by adding onsite behavioral health clinics or telemedicine providers that offer on-demand teletherapy or telepsychiatry.

Reduce Stress with Office Environment

There are many elements of office design that can either increase or decrease stress. A recent study found that natural light or views of the outdoors were the most sought after office design perks, outranking onsite cafeterias, fitness centers and onsite childcare. Another study looks at how different colors can affect employee productivity and communicate messages about your brand.

Employers can also create a workplace culture that’s less stressful by encouraging employees to take five minutes a day to be less stressed. Whether it’s spent meditating, taking a walk, journaling, taking deep breaths, grabbing a coffee, or googling ‘ways to reduce stress’, it’s five minutes where employees can tune into themselves and get back to work with renewed focus and productivity. It’s only five minutes and it demonstrates to employees that you genuinely care about their emotional wellbeing, even if they don’t participate.

Flexibility to Reduce Stress

Half of workers report missing at least one day of work per year due to stress, anxiety, or some other emotional or mental health challenge. Organizations that offer more flexibility around scheduling can give employees an opportunity to slow down when they’re stressed out.

Flexible work arrangements provide employees with a certain flexibility in determining when and where they work. The two most common flexible work policies are work from home policies and unlimited paid leave policies. When an employer develops a new flex work policy it’s best to find the mid-point between organizational demands and workforce needs.

More on Stress and Mental Health in the Workplace:

Stress, Money and Millennials: Where’s the Pain Point?

How High is Work-Related Stress and What’s Causing It?

How to Support Mental Health at Work

Zombie Employees: Who Are They and What Do You Need to Know?

What’s the Best Move When Your Employees Are Stressed About Healthcare Costs?

Revealing Research on Financial Stress and Productivity