The answer to soaring employer-sponsored health care costs Benefits PRO

Talk about sticker shock. Most employers will see health care costs increase 6% to 9% next year. Employer-sponsored insurance covers nearly 159 million people under age 65 in the United States, according to health care research group KFF. Did you know that 15% of your plan members account for 80% of your total plan costs?

Forward-thinking employers don’t just wait for bills, they take action on the front end by integrating healthcare professionals into the workplace to help teammates manage long-term chronic conditions such as diabetes, hypertension, respiratory, cardiac and gastrointestinal issues .

An ounce of prevention is worth a pound of cure.

Providing real-world, enhanced health management significantly reduces healthcare utilization and results in, you guessed it, an average 5 to 1 return on investment in program costs. It also increases employee satisfaction, helping you recruit and retain a high-quality workforce.

Additionally, healthier employees equal more productive employees. Don’t take that away from me. My colleague at Curally, Dr. Ernie Vesta, has seen this firsthand. His work, along with that of our nurse practitioner-led care teams, plays a critical role in working closely with clients facing complex and costly medical conditions such as cancer, kidney failure, advanced heart disease and orthopedic problems.

They do this by providing healthcare management, a set of resources dedicated to services and activities organized through three main functions: identifying populations with modifiable risk ensuring that existing services meet the needs of the population Be consistent and have the right clinical staff available to provide needed services.

The key, of course, is your employees’ willingness to participate in their own health care.evidence unwilling or the ubiquity of non-compliant actors. In studies of patient noncompliance, Journal of the American Osteopathic Association Citing the World Health Organization’s analysis of the extent of the problem:

  • In the United States, approximately 125,000 people with treatable illnesses die each year because they do not take their medications correctly.
  • Between 10% and 25% of hospital and nursing home admissions are due to patient noncompliance.
  • 50% of prescriptions for chronic diseases in developed countries are not taken correctly, and up to 40% of patients do not adhere to treatment regimens.

When making medical decisions, only by involving plan participants (patients) and taking their values ​​and preferences into consideration can good medical decisions be made, where the benefits outweigh the risks.

In an international study of patients with complex health needs, countries with higher patient engagement had better quality of care, lower medical error rates and higher satisfaction with the care experience.

way forward

Better patient engagement can increase patients’ sense of control, increase trust, and reduce uncertainty. Specifically, involving patients in health care decisions leads to multiple benefits, including increased patient satisfaction with care; greater patient awareness of their condition, examinations, and treatments; more realistic expectations about benefits and harms; and patient Increased likelihood of compliance with screening, diagnostic, or treatment plans.

In some cases, Dr. Vesta and his team have discovered situations where individuals under their care were not properly diagnosed, were not using the most capable doctors, and were confused about the correct path forward.

RELATED: Employers prioritize benefits amid talent shortages and rising costs

The problem now is not only managing healthcare costs, but also finding effective and sustainable solutions, since increasing a company’s profits year over year is not feasible.

As the employer-sponsored health care landscape continues to evolve, innovative approaches will be key to achieving a healthier, more cost-effective future.

Bob Daubenspeck is a human resources veteran who currently serves as chief business officer for a company called Curally.

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