Kaiser Health Tracking Poll: Health Care Priorities for 2017

Great article from the Kaiser Family Foundation about Americans thoughts on ACA repeal by Ashley Kirzinger, Bryan Wu, and Mollyann Brodie

KEY FINDINGS:
  • The latest Kaiser Health Tracking Poll finds that health care is among the top issues, with the economy and jobs and immigration, Americans want President-elect Donald Trump and the next Congress to address in 2017. When asked about a series of health care priorities for President-elect Trump and the next Congress to act on, repealing the ACA falls behind other health care priorities including lowering the amount individuals pay for health care, lowering the cost of prescription drugs, and dealing with the prescription painkiller addiction epidemic.
  • When presented with two general approaches to the future of health care in the U.S., six in ten (62 percent) Americans prefer “guaranteeing a certain level of health coverage and financial help for seniors and lower-income Americans, even if it means more federal health spending and a larger role for the federal government” while three in ten (31 percent) prefer the approach of “limiting federal health spending, decreasing the federal government’s role, and giving state governments and individuals more control over health insurance, even if this means some seniors and lower-income Americans would get less financial help than they do today.”
  • As Congressional lawmakers make plans for the future of the ACA, the latest survey finds the public is divided on what they would like lawmakers to do when it comes to the 2010 health care law. Forty-nine percent of the public think the next Congress should vote to repeal the law compared to 47 percent who say they should not vote to repeal it. Of those who want to see Congress vote to repeal the law, a larger share say they want lawmakers to wait to vote to repeal the law until the details of a replacement plan have been announced (28 percent) than say Congress should vote to repeal the law immediately and work out the details of a replacement plan later (20 percent). However, the survey also finds malleability of attitudes towards Congress repealing the health care law with both supporters and opponents being persuaded after hearing counter-messages.

Top Issues for President-elect Trump and Congress

The latest Kaiser Health Tracking Poll finds health care among the top issues Americans want President-elect Donald Trump and the next Congress to address in 2017. When asked which issue they would most like the next administration to act on in 2017, one-fourth of the public mention the economy and jobs (24 percent), followed by immigration (20 percent), and health care (19 percent). Among Democrats and independents, the economy and jobs is the top issue (23 percent and 24 percent, respectively) while the top issues for Republicans are immigration (30 percent) and economy and jobs (29 percent). Among all partisans, health care ranks among the top three issues that the public wants the next administration to act on in 2017.

The top issue for voters who supported President-elect Donald Trump are similar to those among Republicans: economy and jobs (31 percent) and immigration (31 percent), followed closely by health care (27 percent).

When asked to mention which health care issue they would most like President-elect Trump and the next Congress to act on in 2017, about one-third of the public mention the Affordable Care Act (ACA) but attitudes are mixed between wanting the next administration to act on repealing the 2010 health care law (14 percent), improving/fixing the law (11 percent), or keeping/expanding the law (8 percent).

LOWERING OUT-OF-POCKET COSTS IS A TOP PRIORITY FOR AMERICANS

When asked about a series of health care priorities for President-elect Trump and the next Congress to act on, repealing the ACA falls behind other health care priorities. Two-thirds of the public (67 percent) say lowering the amount individuals pay for health care should be a “top priority” for President-elect Trump and the next Congress. This is followed by six in ten (61 percent) who say lowering the cost of prescription drugs should be a “top priority,” and nearly half (45 percent) who say dealing with the prescription pain killer addiction epidemic should be a “top priority.”

Smaller shares say repealing the 2010 health care law (37 percent), decreasing how much the federal government spends on health care over time (35 percent), and decreasing the role of the federal government in health care (35 percent) should be top priorities.

LOWERING OUT-OF-POCKET COSTS TOPS PRIORITIES REGARDLESS OF PARTISANSHIP

While about two-thirds of Democrats, Republicans, and independents say lowering the amount individuals pay for health care should be a “top priority,” partisans differ in how they prioritize other health care issues. Most notably, while 63 percent of Republicans say repealing the 2010 health care law should be a top priority – this view is shared by much smaller shares of independents (32 percent) and Democrats (21 percent). Similarly, Republicans (50 percent) are more likely than independents (34 percent) or Democrats (26 percent) to place a top priority on decreasing the role of the federal government in health care. By contrast, Democrats and independents are somewhat more likely than Republicans to place a top priority on lowering the cost of prescription drugs (67 percent, 61 percent, and 55 percent, respectively) and on dealing with the epidemic of prescription painkiller addiction (51 percent, 46 percent, and 39 percent, respectively).

CONFIDENCE IN PRESIDENT-ELECT TRUMP’S ABILITY TO REDUCE HEALTH CARE COSTS

Lowering out-of-pocket health care costs is a top priority for Americans, and this was also a campaign promise from Donald Trump during his 2016 presidential campaign. When asked how confident they are in President-elect Trump’s ability to deliver on this campaign promise that Americans will get better health care at a lower cost than they pay now, Americans are split with similar shares saying they are either “not too confident” or “not at all confident” (51 percent) as saying they are “very confident” or “somewhat confident” (47 percent).

Confidence in President-elect Trump’s promise that Americans will get better health care at a lower cost is largely divided by party identification and 2016 vote choice with nearly nine in ten Republicans (85 percent) and Trump voters (86 percent) saying they are either “very” or “somewhat” confident in the next administration’s ability to deliver on this campaign promise. This is compared to 81 percent of Democrats and 86 percent of Clinton voters who say they are either “not too confident” or “not at all confident” that the next president will deliver on this promise.

Americans’ Attitudes on the Future of Health Care in the U.S.

Throughout the 2016 presidential election, it became clear that the two major political parties in the U.S. have competing views on the future of health care. When given two competing approaches to the future of health care, six in ten Americans (62 percent) prefer “guaranteeing a certain level of health coverage and financial help for seniors and lower-income Americans, even if it means more federal health spending and a larger role for the federal government” while about one-third (31 percent) prefer “limiting federal health spending, decreasing the federal government’s role, and giving state governments and individuals more control over health insurance, even if this means some seniors and lower-income Americans would get less financial help than they do today.”

There are also partisan differences, with about half of Republicans (53 percent) preferring the approach that Republican leaders have coalesced around – limiting federal health spending, decreasing the federal government’s role, and giving states and individuals more control; this approach is preferred by much smaller shares of independents (27 percent) and Democrats (15 percent). The majority of Democrats (79 percent) and independents (65 percent) prefer guaranteeing a certain level of coverage for seniors and lower-income Americans – even if it means a larger role for the federal government and increased federal spending.

ATTITUDES TOWARDS THE FUTURE OF THE AFFORDABLE CARE ACT

The future of the Affordable Care Act has been at the forefront of the political agenda since the 2016 election with President-elect Trump and Republican lawmakers in Congress saying they will quickly move to repeal the health care law in 2017. The latest survey finds public opinion towards the law is divided with similar shares of the public saying they have an unfavorable opinion (46 percent) as say they have a favorable opinion (43 percent) of the law, which is largely stable from previous months.

REPEALING AND REPLACING THE AFFORDABLE CARE ACT

As Congressional lawmakers make plans for the future of the ACA, the latest Kaiser Health Tracking survey finds that – similar to overall attitudes towards the law – the public is also divided on what they would like lawmakers to do when it comes to the 2010 health care law.

Overall, 49 percent of the public think the next Congress should vote to repeal the law and 47 percent say they should not vote to repeal it. Of those who want to see Congress vote to repeal the law, a larger share say they want lawmakers to wait to vote on repeal until the details of a replacement plan have been announced (28 percent) than say Congress should vote to repeal the law immediately and work out the details of a replacement plan later (20 percent).

HOW FLEXIBLE ARE AMERICANS’ OPINIONS OF REPEALING THE ACA?

The survey examines the malleability of attitudes towards Congress repealing the health care law and finds that both supporters and opponents of Congress voting to repeal the law can be persuaded after hearing counter-messages. After hearing pro-repeal arguments, the share of the public supporting repeal can grow to as large as 60 percent, while counter-messages against repeal can decrease support to 27 percent.

Among those who originally said Congress should not vote to repeal the 2010 health care law, about one-fifth (22 percent) change their opinion after hearing that some consumers around the country have seen large increases in the cost of their health insurance – which is similar to the share who shifted their opinion after hearing that the country cannot afford the cost of providing financial help to individuals to purchase health insurance.

On the other side of the debate, some of those who originally said they support Congress voting to repeal the health care law are also persuaded by hearing arguments often made by opponents of the repeal efforts. The survey finds that a share shifts their opinion after hearing that some people with pre-existing conditions would no longer be able to get health coverage and after hearing that some of the roughly 20 million Americans who got health insurance as a result of the law would lose their coverage.

PERCEIVED EFFECTS OF CHANGES TO HEALTH CARE SYSTEM

Overall, large shares of Americans say their own health care will “stay about the same” if lawmakers vote to repeal the 2010 health care law. More than half of Americans say the quality of their own health care (57 percent) and their own ability to get and keep health insurance (55 percent) will stay about the same if the law is repealed. Fewer (43 percent) say the cost of health care for them and their family will stay about the same if the law is repealed. In each of these cases, about equal shares believe their own situation will get better as say it will get worse.

INDIVIDUALS WITH A PRE-EXISTING CONDITION

After being read a definition of “pre-existing condition,” just over half (56 percent) of U.S. adults say that they or someone in their household would be considered to have such a condition. Overall, these individuals are more likely than those without a pre-existing condition to say their access, quality, and cost of health care will get “worse” if the ACA is repealed. However, about one in five of these individuals say their access, quality, and cost of health care will get “better” if the ACA is repealed.

One-third of individuals who have someone in their household with a pre-existing condition say the cost of health care for them and their family will get worse if the ACA is repealed, compared to about one in five of those living in a household without someone with a pre-existing condition. Larger shares of those with a pre-existing condition also say their ability to get and keep health insurance will get worse than those without a pre-existing condition (24 percent vs. 17 percent), and the quality of their own health care will get worse (21 percent vs. 15 percent).

In addition, individuals with a pre-existing condition in their household also report being more worried about health-care related issues than those without a pre-existing condition. Slightly more than half (54 percent) of those with a pre-existing condition say they are either “very worried” or “somewhat worried” about not being able to afford the health care services they need, compared to 43 percent of those without a pre-existing condition. Similarly, 43 percent of those with a pre-existing condition are worried (either “very” or “somewhat”) about losing their health insurance compared to 30 percent of those without a pre-existing condition.

Kaiser Health Policy News Index

The latest Kaiser Health Tracking Poll finds President-elect Donald Trump’s transition and cabinet appointments was the most closely followed news story during the past month with seven in ten (68 percent) Americans closely following news about his transition. Other stories that captured the attention of Americans include the conflict involving ISIS in Mosul, Iraq (64 percent), the CIA’s report of Russia interfering in the 2016 presidential election (64 percent), and the top health policy story this month – Republican plans to repeal the ACA (63 percent). Other health policy stories followed by Americans this month include the ongoing heroin and prescription painkiller addiction epidemic in the U.S. (57 percent), Republican plans for the future of Medicare (51 percent), and the passing of the 21st Century Cures Act (37 percent).

See the original article and charts  Here.

Source:

Krizinger A., Wu B., Brodie M. (2017 January 06). Kaiser health tracking poll: health care priorities [Web blog post]. Retrieved from address http://kff.org/health-costs/poll-finding/kaiser-health-tracking-poll-health-care-priorities-for-2017/


2014 Work-Related Illness & Injury Statistics

The Bureau of Labor Statistics (BLS) recently released statistics on work-related injuries and illnesses in 2014. According to the BLS, two key factors are used to measure the severity of these injuries and illnesses:

* Incidence rate: The number of cases, per 10,000 full-time employees, of injuries and illnesses that require time away from work.

* Average days away from work: The average number of days an employee spends away from work to recover from an injury or illness. The BLS found that the overall incidence rate of nonfatal occupational injury and illness cases in 2014 was 107.1, down from a rate of 109.4 in 2013. The number of days away from work was approximately the same in both years. Additionally, the BLS detailed the most common workplace injuries and illnesses, as well as the most commonly affected parts of the body.

Common Injuries and Illnesses
Sprains, strains and tears were the most common workplace injury in 2014. The incidence rate for these injuries was approximately 38.9 cases per 10,000 full-time employees, which represents a decrease from 2013’s rate of 40.2 cases. However, these are still significant injuries; on average, workers with sprains, strains or tears needed 10 days away from work to recover.

The statistics also show that soreness and pain were common injuries, but generally required fewer days away from work.

Commonly Affected Parts of the Body
The upper extremities (e.g., hands, shoulders) were most affected by injuries and illnesses in 2014, with an incidence rate of 32. Hands accounted for 40 percent of those cases, the most among upper extremities. However, shoulder injuries and illnesses required an average of 26 days away from work to recover, more than any other part of the body.

Musculoskeletal Disorders
The BLS specifically noted that musculoskeletal disorders (MSDs) accounted for 32 percent of all workplace-related injuries and illnesses in 2014. Although the incident rate of MSDs was lower than it had been in 2013, these injuries can affect employees in any industry.

For more information on preventing workplace injuries and illnesses, contact Hierl Insurance Inc. today.


Financial wellness: Here’s what employees want, need in 2017

Great article from our partner, United Benefit Advisors (UBA) by

Recent research into individuals’ financial resolutions for 2017 can tell you whether your financial wellness initiatives are giving employees what they want. It can also tell you whether to expect employees to increase their retirement contributions next year. 

Personal finance company LendEDU recently asked 1,001 Americans about their financial goals for 2017, as well as what their biggest concerns are. The results were published in LendEDU’s “Financial Resolution Survey & Report 2017,” which can help employers determine if their financial programs are on point.

Here are some of the more interesting Q&A’s from the research:

What’s your most important financial resolution in 2017?

  • Save more money — 52.85% of respondents selected this
  • Pay off debt — 35.56%
  • Spend less money — 11.59%

Takeaway for employers: Improving savings should be front and center in any financial wellness strategy.

What’s your top financial resolution?

  • Make and stick to a budget — 21.38%
  • Save for a large purchase like a down payment, household upgrade, or car, etc. — 19.28%
  • Pay down credit card debt — 18.88%
  • Place money aside for an emergency — 16.58%
  • Save for retirement — 13.69%
  • Pay down student loan debt — 7.29%
  • Save for college — 2.90%

Takeaway for employers: Employees need the most help creating a budget they can stick to.

What’s your top financial concern?

  • Unexpected expenses — 53.25%
  • Healthcare costs — 23.98%
  • Higher interest rates — 9.69%
  • The labor market — 7.79%
  • Stock market fluctuations — 5.29%

Takeaway for employers: Helping employees manage healthcare costs can be a key add-on to any financial education program.

Do you think you’re better off financially in 2017 than in 2016?

  • Yes — 78.32%
  • No — 21.68%

Takeaway for employers: Employees’ financial state of mind is on the upswing, which is good. But it could make increasing participation in wellness initiatives more challenging.

Do you make financial resolutions with your spouse or significant other?

  • Yes — 84.83%
  • No — 15.17%

Takeaway for employers: When it comes to finances, very few people go it alone, so invite spouses to be a part of your wellness offerings.

What would make you stick to a financial resolution?

  • Having a reward for reaching the goal — 37.56%
  • Segmenting a longer term goal into smaller bit sized pieces — 20.08%
  • Technology that helps you save money or monitor goals in real-time — 19.38%
  • The encouragement of family and friends — 13.99%
  • Having a consequence for not reaching the goal — 8.99%

Takeaway for employers: Incremental rewards and incentives, can help drive participation and success in 2017 financial wellness initiatives.

Do you think you’ll increase your retirement savings contributions this year?

  • Yes — 63.24%
  • No — 36.76%

Takeaway for employers: This could be a good year to really push employees to bump up retirement plan contributions.

See the original article Here.

Source:

Author (Date). Title [Web blog post]. Retrieved from address http://www.hrmorning.com/financial-wellness-heres-what-employees-want-need-in-2017/


Survey: Enrollment in Consumer-Directed Health Plans Jumps 22 Percent Despite Increase in Plan Costs

Great article from our partner, United Benefit Advisors (UBA) by Jason Reeves

Our 2016 Health Plan Survey results are in and as our preliminary findings indicated, while employer costs remained steady, employees continue to take on more cost for coverage. With PPO deductibles rising 50 percent, UBA finds that consumer-directed health plans (CDHPs) continue to increase in popularity even though they are offering less savings than a year ago. Our newly released 2016 Health Plan Survey Executive Summary finds 26.4 percent of all U.S. employees are now enrolled in CDHP plans, an increase of 21.7 percent from last year and nearly 70 percent from five years ago.

Conversely, CDHP costs have risen 2 percent from last year. So while they are still 3.5 percent less costly than the average plan, they offered more savings in 2015 when they were 5.6 percent less than the average plan.

“CDHP interest among employers isn’t surprising given these plans’ savings over the average plan,” says Les McPhearson, CEO of UBA. “Employees typically pick up 32 percent of the cost, slightly below the 35 percent average employee contribution rate among all plans, making them an attractive choice for many employees as well. But like all cost benchmarks, plan design plays a major part in understanding value.”

Looking at prevalence of CDHPs, the UBA survey finds that 25.7 percent of plans offered by employers are CDHPs, a 14.2 percent increase in the last five years. Regionally, however, there are major differences in CDHP popularity.

UBA’s survey finds CDHPs account for the following percentage of plans offered by employers:

Northeast 34.4%
North Central 32.5%
Southeast 26.6%
Central 21.0%
West 14.2%

Read our breaking news release for full coverage regional trends, especially the unique plan shift happening in the West, particularly California.

For information on the regions, industries and group sizes driving the move to CDHPs (as well as those resisting these plans), be sure to download UBA’s 2016 Health Plan Survey Executive Summary, a free publication detailing all the comprehensive survey findings.

Employers can also request a custom benchmarking report comparing your specific premiums, contributions, copays, deductibles, etc., to national and regional averages within your industry and group size.

See the original article Here.

Source:

Reeves, J. (2016 October 20 ). Survey: enrollment in consumer-directed health plans jumps 22 percent despite increase in plan cost [Web blog post]. Retrieved from address http://blog.ubabenefits.com/survey-enrollment-in-consumer-directed-health-plans-jumps-22-percent-despite-increase-in-plan-costs


Employers rate private exchanges positively, but use is still low

Great article from Benefits Pro by Gil Lowerre and Bonnie Brazzell

A recent Eastbridge survey of employers found that the use of private exchanges continues to be minimal among all size categories and that a positive correlation remains between use and employer size (with use increasing as employer size increases). Many times, it is the broker who influences these employers to adopt the exchange model, and to offer more options to their employees or to move to a defined contribution approach.

Since brokers are often the ones suggesting an exchange for their clients, it makes sense that most employers (74 percent) continue to use a broker for their employee benefits after implementing a private exchange. Only 19 percent of the employers no longer utilize broker services.

While use has been low, employers that have implemented an exchange believe their employees’ experience with the private exchange has been positive. Forty percent indicated the experience was not only positive, but easier than previous enrollments, and 52 percent said it was positive, but not significantly different from previous enrollment.

The survey also pointed to future interest by employers in private exchanges. Over one-quarter of the employers that are not using a private exchange today are open to using this concept in the future, and another one-quarter are still undecided.

Whether or not to offer a private exchange is a decision that should be based on many factors. Nonetheless, it is important for brokers to at least consider broaching the subject with employer clients — or risk the chance that some other broker will. The fact that most employers rate the exchange process positively should provide comfort to those considering this approach to benefits.

See the original article Here.

Source:

Lowerre, G. & Brazzell, B. (2016 November 02). Employers rate private exchanges positively, but use is still low. [Web blog post]. Retrieved from address http://www.benefitspro.com/2016/11/02/employers-rate-private-exchanges-positively-but-us


Travel is millennials’ work incentive

Do you know what millennials are looking for in the workplace? Travel and flexibility are among the top 2 as mentioned in the article below by Marlenen Y. Satter.

Original Article Posted on BenefitsPro.com

Posted: October 7, 2016

Millennials have itchy feet.

In fact, their desire to see faraway places is their main reason to work — after, of course, paying basic necessities. According to FlexJobs survey, a hefty 70 percent of millennials say their “overwhelming desire to travel” is their main motivation on the job — that’s just a tad less than the 88 percent who cite that basic motivator: necessities.

Gen X respondents are fond of travel too, but not as much as millennials; 60 percent ranked it as the fourth most important reason for working. And boomers are apparently settling down; just 47 percent ranked travel as fifth in importance.

Not only are millennials wanderers, they want flexibility — up to a point. Freelance work seems to be going farther than they’d like (particularly since at least some of that “flexibility” is really out of a freelancer’s control and in the hands of clients).

Although millennials tend to be more associated with freelance work than other generations, only 42 percent of millennials are open to freelancing as a flexible work arrangement.

Gen Xers actually view freelance work more favorably than millennials, with 47 percent willing to consider it. Forty-four percent of boomers also expressed interest in freelancing.

Flexibility, on the other hand, is important enough to millennials that 82 percent say it’s a factor in evaluating a potential job, and 34 percent have actually left a job because it did not have work flexibility. In addition, 82 percent say they’d be more loyal to an employer if they had flexible work options.

Yet, although they’re the ones most interested in flexibility, millennials are also the generation most required to be at the office to work than older generations: 34 percent, compared with Gen Xers at 26 percent and boomers at 19 percent. Their work schedule — part of that flexibility — is also important to more millennials (65 percent) than it is to Gen Xers (57 percent) or to boomers (62 percent).

Interestingly, though, none of the generations regard the office during traditional working hours as their location of choice for optimum productivity.

See the Original Article Here.

Source:

Satter, M.Y. (2016, October 7) Travel is millennials' work incentive [Web log post]. Retrieved from http://www.benefitspro.com/2016/10/07/travel-is-millennials-work-incentive?ref=hp-top-stories


Wisconsin Manufacturing Quiz

Source: WMC

Wisconsin manufacturers make some of the coolest products on Earth. Take the quiz below from the Coolest Thing Made in Wisconsin competition.

Test your knowledge of state products and where they are made from the nominees for the Coolest Thing Made in Wisconsin competition, sponsored by WMC, Wisconsin’s chamber of commerce, and Johnson Financial Group.

  1. Brats were a staple in many Wisconsin communities, but none more so than in Sheboygan County. Name the company that standardized brat production and became the worldwide leader in bratwurst and the city where the company is located.
  2. Founded in 1922, this American shoe manufacturer makes premium shoes and accessories for men. The shoes are the preferred shoes of Presidents of the U.S., CEOs and well-groomed men around the world. Name the brand and the company’s hometown.
  3. Name the original citrus soda and the only place in the world that bottles it in returnable bottles with granulated sugar. Name the product, the company and the hometown.
  4. This company manufactures the windows and many of the body panels for the NASCAR Sprint Cup Series race cars. Name the company and the hometown.
  5. These yachts are the pride and joy of Pulaski, Wisconsin and many of them regularly retail for more than $1 million. Name the company.
  6. What is a wireless camera system to allow farmers to view their animals over the internet and where’s the hometown?
  7. This iconic company introduced the motorcycle to the world. What’s the company and hometown?
  8. Brass diving helmets aren’t just for science fiction. They are made in Wisconsin by which company and in what city?
  9. There is only one manufacturer of this specific cheese in the U.S. Name the cheese, the manufacturer and this Swissdominated hometown.
  10. In the event of a terrorist attack or a natural disaster, the first responders will take charge in this state-of-the-art rapid response vehicle. Name the vehicle, the manufacturer and the hometown.

Get the Answers here.


See Which Employers Are Aggressively Increasing Rx Tiers for Cost Savings

How are you handling the rising cost of prescriptions? Find out what the trends are and how other employers are handling increasing costs from the UBA Health Plan Survey.

Original Post from UBABenefits.com on July 21, 2016 by Bill Olson, Chief Marketing Officer at UBA.

The Latest UBA Survey data shows employers are flocking to two strategies to control rising prescription drug costs: moving to blended copay/coinsurance models vs. copay only, and adding tiers to the prescription drug plans. Almost half (48.9%) of prescription drug plans utilize three tiers (generic, formulary brand, and non-formulary brand), 4.3% retain a two-tier plan, and 44.1% offer four tiers or more. The number of employers offering drug plans with four tiers or more increased 34% from 2014 to 2015. The fourth tier (and additional tiers) pays for biotech drugs, which are the most expensive. By segmenting these drugs into another category with significantly higher copays, employers are able to pass along a little more of the cost of these drugs to employees. Over the last two years, the number of plans with four or more tiers grew 58.1%, making this a rapidly growing strategy to control costs.

Employers with 1 to 99 employees have been driving the trend to adopt prescription drug plans with four or more tiers. In three years, plans with four or more tiers increased approximately 60% among these groups, making this the top cost-containment strategy for small employers, who make up the backbone of America.

Even the largest employers (1,000+ employees), 81% of which historically have offered plans with two or three tiers, have seen a 12.9% decrease in these plans as they, too, migrate to plans with four or more tiers (albeit more slowly).

The construction, mining and retail industries have also been steadily leading the migration to plans with four or more tiers over the last three years, and in the latest UBA survey, 47.5%, 53.2% and 46.3% of their respective plans fall in this category. But this year, the utilities industry has made a more sudden switch, with 58.3% of those plans now consisting of four or more tiers, leapfrogging its perennial tier-climbing peers. This is a significant jump, considering nearly 20% of plans in the utilities industry were still two-tier plans just three years ago—far more two-tier plans than any other industry group at that time. However, this wasn’t a total surprise since, in the 2014 survey year, the industry had an above-average amount of three-tier plans (65.9% vs. an average of 57.1%).

The education and manufacturing industries are more reluctant to shift to plans with four or more tiers. Over the last three years those industries have maintained the highest amounts of three-tier plans, and in the latest survey, 52.8% of their plans remain at three tiers.

Two-tier plans are becoming nearly as rare as single-tier plans, shrinking 45% to 4.3% of all prescription plans in three years. Agriculture has the most holdouts, with 14.8% of plans still comprised of one or two tiers.

Regionally, the East Central U.S. has been leading the migration to plans with four or more tiers for the last three years, followed by North Central and Southeast employers. In the 2015 survey year, Southeast employers eclipsed East Central employers with 60.7% of their plans with four or more tiers.

Strangely enough, East Central and Southeast employers have the lowest percentage of three-tier plans (34.3% and 34.1%, respectively) but the highest percentage of single-tier plans (4.7% and 4.2%, respectively). Other Western employers (excluding California) also have below-average three-tier plans (40.6%), above-average four-tier plans (49.1%) and above-average (10.2%) one- to two-tier plans.

Groups increasing tiers most aggressively for cost savings

California employers have the most two-tier plans (22.9% vs. the average of 4.3%) which, although still off the charts, represents a 20% decline from the previous survey year.

Mid-Atlantic and New England employers have had the most three-tier plans for the last three years, making them the top resisters of plans with four or more tiers over time.

Groups resisting 4+ tier plans

For more information on prescription drug trends, including the companies making an early leap to five-tier plans, download UBA’s free (no form!) publication: Special Report: Trends in Prescription Drug Benefits.

Source:

Olson, B (2016, July 21). See which employers are aggressively increasing Rx tiers for cost savings [Web log post]. Retrieved from http://blog.ubabenefits.com/see-which-employers-are-aggressively-increasing-rx-tiers-for-cost-savings


See Which Employers Are Aggressively Increasing Rx Tiers for Cost Savings

How are you handling the rising cost of prescriptions? Find out what the trends are and how other employers are handling increasing costs from the UBA Health Plan Survey.

Original Post from UBABenefits.com on July 21, 2016 by Bill Olson, Chief Marketing Officer at UBA.

The Latest UBA Survey data shows employers are flocking to two strategies to control rising prescription drug costs: moving to blended copay/coinsurance models vs. copay only, and adding tiers to the prescription drug plans. Almost half (48.9%) of prescription drug plans utilize three tiers (generic, formulary brand, and non-formulary brand), 4.3% retain a two-tier plan, and 44.1% offer four tiers or more. The number of employers offering drug plans with four tiers or more increased 34% from 2014 to 2015. The fourth tier (and additional tiers) pays for biotech drugs, which are the most expensive. By segmenting these drugs into another category with significantly higher copays, employers are able to pass along a little more of the cost of these drugs to employees. Over the last two years, the number of plans with four or more tiers grew 58.1%, making this a rapidly growing strategy to control costs.

Employers with 1 to 99 employees have been driving the trend to adopt prescription drug plans with four or more tiers. In three years, plans with four or more tiers increased approximately 60% among these groups, making this the top cost-containment strategy for small employers, who make up the backbone of America.

Even the largest employers (1,000+ employees), 81% of which historically have offered plans with two or three tiers, have seen a 12.9% decrease in these plans as they, too, migrate to plans with four or more tiers (albeit more slowly).

The construction, mining and retail industries have also been steadily leading the migration to plans with four or more tiers over the last three years, and in the latest UBA survey, 47.5%, 53.2% and 46.3% of their respective plans fall in this category. But this year, the utilities industry has made a more sudden switch, with 58.3% of those plans now consisting of four or more tiers, leapfrogging its perennial tier-climbing peers. This is a significant jump, considering nearly 20% of plans in the utilities industry were still two-tier plans just three years ago—far more two-tier plans than any other industry group at that time. However, this wasn’t a total surprise since, in the 2014 survey year, the industry had an above-average amount of three-tier plans (65.9% vs. an average of 57.1%).

The education and manufacturing industries are more reluctant to shift to plans with four or more tiers. Over the last three years those industries have maintained the highest amounts of three-tier plans, and in the latest survey, 52.8% of their plans remain at three tiers.

Two-tier plans are becoming nearly as rare as single-tier plans, shrinking 45% to 4.3% of all prescription plans in three years. Agriculture has the most holdouts, with 14.8% of plans still comprised of one or two tiers.

Regionally, the East Central U.S. has been leading the migration to plans with four or more tiers for the last three years, followed by North Central and Southeast employers. In the 2015 survey year, Southeast employers eclipsed East Central employers with 60.7% of their plans with four or more tiers.

Strangely enough, East Central and Southeast employers have the lowest percentage of three-tier plans (34.3% and 34.1%, respectively) but the highest percentage of single-tier plans (4.7% and 4.2%, respectively). Other Western employers (excluding California) also have below-average three-tier plans (40.6%), above-average four-tier plans (49.1%) and above-average (10.2%) one- to two-tier plans.

Groups increasing tiers most aggressively for cost savings

California employers have the most two-tier plans (22.9% vs. the average of 4.3%) which, although still off the charts, represents a 20% decline from the previous survey year.

Mid-Atlantic and New England employers have had the most three-tier plans for the last three years, making them the top resisters of plans with four or more tiers over time.

Groups resisting 4+ tier plans

For more information on prescription drug trends, including the companies making an early leap to five-tier plans, download UBA’s free (no form!) publication: Special Report: Trends in Prescription Drug Benefits.

Source:

Olson, B (2016, July 21). See which employers are aggressively increasing Rx tiers for cost savings [Web log post]. Retrieved from http://blog.ubabenefits.com/see-which-employers-are-aggressively-increasing-rx-tiers-for-cost-savings


4 Ways Benefits Administrations Can Stop Cyberattacks

Original Post from BenefitsPro.com

By: Tom Pohl

There are reports of data breaches in the news every week, impacting a range of organizations and industries. These cyberattacks are costing businesses, both large and small, a great deal to resolve — from financial expenses to IT and legal resources to reputation recovery efforts.

According to a new study by the Ponemon Institute, data breaches are costing the health care industry $6.2 billion annually. Nearly 90 percent of health care organizations were victims of a breach in the last two years, raising concern for patients, employees, and others involved in the health care system.

Today, the leading cause of health care data breaches are targeted criminal attacks that seek to place valuable personal information into the hands of malicious actors. The personal information given out to health care organizations can be some of the most valuable to cybercriminals. For example, when enrolling in benefits, the information submitted can include patient names, family history, Social Security numbers, and billing information.

It’s important to also note that not all breaches are malicious. Human error is often a cause of breaches, asCompTia’s International Trends in Cybersecurity report found the 58 percent of security breaches are typically due to human error.

So what can benefits administration technology providers do to keep sensitive data secure from human error and malicious threats?

Conduct extensive user testing on your security systems

Implementing user testing through a third party vendor allows benefits administration technology providers to discover gaps or holes in their security systems. This can be done via a user testing group, which is comprised of individuals trained to discover the predominant methods that cybercriminals would abuse to compromise web-based applications.

The group is given a platform with authorized access and fake scenarios, all set up to act as if the system was running as usual. As these experts go into the system and know what areas to try and hack, the organization is able to develop plans to combat or repair these issues. User testing is similar to proofreading a paper; getting a second set of eyes on a program allows companies to see the full risks of its security system.

Educate employees on cyberthreats

As data breaches become a daily concern for IT departments, educating employees on the risks and dangers of cyberattacks becomes even more of a priority. Benefits administration technology providers need to prioritize educational resources and programs to teach employees how to spot potential cyberattacks, especially as they are handling their customers’ private information.

An effective and simple way to train employees on how to spot strange activity can be done via an email phishing awareness campaign. This involves delivering emails to employees with mocked up links or downloadable materials that, if real, would have the potential to open users’ accounts up to cyberattacks. Organizations should also consistently remind its employees to report any suspicious activity and to change their passwords regularly for a more secure system.

Automate processes to reduce the risk of human error

Recently, Google was in the news for a suffered data breach via its benefits provider. Yet the reason for this incident was human error, in which an email sender accidentally sent a document to the wrong contact. Fortunately for Google, the damage was limited, but human error is not always so forgiving.

With automation, benefits administration technology providers have the ability to decrease the chances of sensitive information getting into the wrong hands. This can be done by sending dummy files before sending the actual files to contacts. Another option is to implement triggers on email accounts when certain information is involved. For example, if a file is attached to the email, prompt the sender to confirm it is the correct file before sending. Implementing automation is a key factor in combatting human errors that could increase the risk of a cyberattack, especially when it comes to personal data.

Beware of the insider threat

While public perception is that these attacks result solely from the actions of malicious hackers outside of an organization, insider threats are a growing and serious concern. Vormetric’s 2015 Insider Threat Report reveals that over 90 percent of U.S. organizations believe they are vulnerable to insider threats such as stolen passwords or email spam. In fact, the National Association of Manufacturers released a statement in April 2016 stating the theft of trade secrets has cost businesses $250 billion per year.

Benefits administration technology may want to go a step further to ensure employees are operating in the correct space. Requiring background checks and limiting access to sensitive data will provide an extra level of security for patient, employee, and others’ personal information.