Health Care Costs Rising
By: Peter Joseph
The cost of providing employees with health insurance coverage continues to
increase at a double-digit rate. We've read a lot about cost drivers in health
care - exorbitant hospital charges, rising prescription drug costs, expenses
associated with developing new technologies and treatments, an aging population
and litigation. Nurturing these factors is an environment in which the demand
for health care seems to be increasing.
For the most part, there is little employers can do to control what is driving
health care costs out of their reach. Health benefits companies can and do
negotiate discounts, and while those help, the underlying costs continue to
skyrocket. The increases created by these cost drivers flow through the health
benefits companies and eventually trickle down to employers in the form of
higher health insurance premiums.
In this soft economy, declining revenue is putting a squeeze on company
expenses. It is likely that you will experience a 15 percent to 20 percent
increase in your group health insurance when a renewal form lands on your desk.
Can you raise the cost of your company's product or service as quickly as your
health insurance premiums are increasing?
Probably not. However, there are steps you can take to gain some control over
your health care costs.
Finding a solution
Employers can exercise some control over their costs by finding a health
benefits company that provides the "best" value for their company's premium
dollars. The way in which you "shop" a health plan can impact the price. I'll
use an analogy. Your travel agent has a great deal for you - air, car, hotel and
meals included. You tell your agent to book it.
Coincidently, your neighbors just booked that same trip for $1,000 less through
their travel agent. One agent shopped for the best price, the other agent
arranged the trip through his or her vendor of choice. Whether it's a family
vacation, buying a car or choosing a health benefits plan, how you shop can
impact your cost. Make sure your insurance agent doesn't "arrange" your health
plan for you. How many providers are enough? The more participating providers a
health plan has, the more you're likely to pay in premiums. If you are
considering a health plan that doesn't include a few desired physicians, request
that the carrier add them to its network.
Physicians participate in many different health plans and are usually willing to
participate in one more. Don't get caught in the trap of paying 10 percent to 15
percent more for your health insurance premiums because one or two doctors are
not participating in the plan. It's reasonable that an employee can find another
physician out of the thousands on the plan.
The power of marketing
Living in the United States affords us exceptional opportunities and choices.
Along with that privilege comes a barrage of communications designed to
influence our decision-making. What we read in the papers, see on television,
hear on the radio, see flashed across a billboard, get stuffed in our mailboxes
or pops up on the Internet is designed to predispose us to a company or its
product.
Marketing can be an effective tool, and depending on how much is spent, can be
quite influential. What marketing cannot do, however, no matter how much is
spent, is replace what it takes to come up with an affordable health benefits
solution that works for you. Be sure to look for a health benefits company that
is flexible, listens and is willing to roll up its sleeves to provide you with a
package of health benefits that you can afford.
Author Bio
PETER JOSEPH is senior vice president for commercial sales for VISTA, a health
benefits company headquartered in South Florida with more than 330,000 members.
VISTA, through its affiliated companies, Vista Healthplan Inc., Vista Health
Plan of South Florida Inc. and Vista Insurance Plan Inc., offers a choice of
health benefit plans including health maintenance organization (HMO), preferred
provider organization (PPO) and point-of-service (POS). Reach him through
VISTA's Web site at
www.vistahealthplan.com or (954) 986-6255.