By Roberta Magalhaes and Samuel Tan ,
08/12/2022 · 6 min read
However, the triple threat of medical inflation, potentially challenging renewal negotiations and economic uncertainty means that cost containment is high up the corporate agenda. With the C-suite taking greater interest in benefit plan costs, the pressure on human resources (HR) teams to show value for money grows.
Despite this, our People Risk Report 2022 research shows that just 42% of HR and risk managers surveyed currently have an effective cost containment strategy that combines plan design, health risk management and insurance placement.
Employers should prioritize multi-year and multi-prong containment strategies that focus on improving employee health while keeping expenditures under control. Cutting coverage to save costs on its own risks a disengaged workforce, increasing the potential for more instances of ill health leading to low productivity, absence, increasing staff turnover and damaged reputation.
Our Health Trends Report 2023 research found that medical trend rates have increased beyond what was projected earlier this year at 9.5% for 2022, to 12.7% for 2022 and 12.6% for 2023.
Several factors are driving higher costs. Global inflation is increasing per unit costs for services and supplies. Some regions are also seeing higher utilization patterns due to more people accessing services. Globally, almost two in five (37%) insurers say that medical claims activity is being impacted by higher incidences of chronic conditions due to lifestyle changes, with almost three in five (58%) reporting a higher cost per claim owing to more advanced treatments required as a result of deferred care. Especially in Asia, as cities emerge from hard lockdowns and disrupted care, individuals are again seeking medical treatment of non-emergency and chronic conditions.
Economic uncertainty could make renegotiating premiums and communicating these internally more challenging; HR teams will have to answer tough questions throughout the renewal cycle.
Against this economic backdrop, it will be harder to contain costs. At the same time, stripping out benefits to save money may result in key talent moving elsewhere. Those employees who remain will need more help managing physical, mental and even financial wellbeing.
Firms that insufficiently protect their workers will have to address the impacts of poor health and increased stress levels. This could lead to significant costs to the business, including from poor productivity, replacement of top-tier staff and the high insurance premiums that come with health conditions that could have been prevented or managed.
Instead of slashing budgets, employers should focus on cost containment and value for money. This means taking advantage of innovations such as virtual care and the long-term savings that can be gained through creating a culture of healthy living.
At Mercer Marsh Benefits, we believe there are three critical steps that employers should take to help to achieve successful cost containment.
Benefits programs need to be cost effective, but they should also support employee health. The first step to achieving this is to examine your plan design and make changes to optimize for value. This means evaluating levers to make sure they’re still fit for purpose.
Where medical inflation is high, deductibles and co-pays need to be increased for plans to work as intended. For example, if a program was designed several years ago, US$10 initially might have been high enough to cover a typical routine expense, but no longer creates a pain point. Generally, we find that it works better to share a percentage, rather than a dollar amount, so that mechanisms continue to work as costs rise (ideally with an out-of-pocket cap to ensure that the employee portion of costs is affordable).
While cost sharing is an important step in containment, it’s important to have checks and balances in place to ensure care is affordable for all employees. This might mean flipping the pyramid so that workers earning lower wages receive the most help.
Employers should consider:
HR leaders are under more pressure than ever. Our research shows that benefits spend rose during the pandemic but that management scrutiny increased at the same time. While its natural to consider cost cutting as a reaction to medical inflation and tightening economic conditions, this can have dire consequences for firms. Instead, employers should look at solutions that increase value, ensuring that workers are well supported, healthy and engaged.
We are facing a long-term shortage and a competitive market for needed skills; and benefits are a critical tool for retaining and attracting talent. However, that doesn’t have to lead to bloated budgets. Instead, by designing for value, focusing on prevention and driving efficiency, businesses can balance cost and empathy – looking after their employees as well as the business.
MMB Multinational and GBM Leader, United Arab Emirates, Mercer Marsh Benefits
United Arab Emirates
Health & Benefits Consulting Leader, Mercer Marsh Benefits
Thailand