Summer 2006 Newsletter
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Effective Strategies To Help Combat Health
Care Costs…
By Kirk Pion Director of
Strategy Blue Cross Blue Shield |
Consider the following
statistics, and the impact they have on the overall cost of
healthcare:
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Diabetes affects 7 percent of the
United States population, with 14.6 million people diagnosed
with the disease, and another 6.2 million currently undiagnosed.
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Approximately 70 million Americans,
including over 9 million children, are obese and at increased
risk of many other diseases and conditions. Current data
suggests that this situation is growing worse.
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Almost one-fourth of the population
has some form of cardiovascular disease. The cost of caring for
cardiovascular diseases, including almost 6 million related
hospitalizations annually, is tremendous – amounting to an
estimated $351 billion dollars in health care expenses and lost
productivity in 2003 alone.
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A new condition known as
“presenteeism” - lost productivity that occurs when employees
come to work but perform below par due to illness – may account
for up to 60% of employer health costs, and an estimated cost to
organizations of $180 billion annually according to a study by
AdvancePCS.
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According to a study conducted by
the U.S. Bureau of Labor and Statistics, companies lose
approximately $645 annually per employee and 2.8 million
workdays each year because of “absenteeism” - unscheduled time
off due to illness or personal reasons.
These conditions have a direct impact on employers, compounding
rising health care expenses. Small employers are especially
vulnerable to increases in these expenses. The average total premium
(employer and employee share) per enrolled employee is higher among
firms with fewer than 50 employees for single and family coverage
(Center for Financing, Access, and Cost Trends, AHRQ, Insurance
Component of the Medical Expenditure Panel Survey, 2003).
Additionally, smaller firms are experiencing larger percentage
changes in premiums.
Fortunately for employers, leading health insurers are taking note
and working with employers to offer effective strategies aimed at
alleviating the crisis and maintaining consistently high
productivity levels in the workplace.
Small employers should consider speaking with a local insurer or
broker to discuss options that best suit their company’s needs. They
should look for a health insurance company which:
- Offers a range of consumer directed health care products
including high-deductible Health Savings Account (HSA)
compatible health plans, and Health Reimbursement Arrangement (HRA)
accounts;
- Encourages health and wellness among employees by providing
incentive programs for healthy behaviors;
- Provides tools to help members make health care decisions,
manage their records, and track health care expenditures; and
- Has an excellent customer service record and is accessible
to employees seeking guidance.
With the right health insurance partner, small companies will be
better able to contain health care costs while also provide ng extra
value to their employee population.
About: Kirk G. Pion, MHSA
Kirk Pion is the Director of Strategy, Innovation & Delivery for
Health Care Service Corporation, the parent company for Blue Cross
and Blue Shield of Illinois, Texas and New Mexico. Kirk is
responsible for the research, development, marketing and
administration of consumer-driven products, and most recently
launched an integrated HSA product in conjunction with Mellon Bank.
He has spoken on consumer-centered health care at a number of local
and national conferences including Innovative Product Development in
Managed Care as well as other venues. In addition, Kirk is
responsible for the design, development and implementation of new
employer group products, as well as enhancements to BCBSIL’s group
health insurance product portfolio
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