A new report from Imagine360 says that when it comes to health care for self-insured employers, the focus should be more on affordability and less on rising medical costs. Affordability collapses when costs grow faster than revenue or employee income. Employers are forced to pay more to provide fewer services, while workers are asked to shoulder ever-increasing copays, deductibles and premiums. This imbalance has expanded into a systemic problem, the report said.
“Brokers must respond to an urgent mission: helping employers move from incremental fixes to a model that fundamentally realigns cost and value,” said Bill Dembereckyj, CFO of Imagine360.
The good news, the report rushes to note, is that price transparency requirements, innovative alternative plan models and changing policy dynamics give employers unprecedented tools. This creates unprecedented leverage for plans to understand their health care costs, evaluate plan design, and close health care affordability gaps.
The report provides an overview of reference pricing, pharmacy cost containment, high-deductible health plans, centers of excellence, narrow networks, level funding programs, and more.
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