Survey: More Employers Pushing for Value-Based Health Plans

A survey by Aon Hewitt found more employers are taking active roles with payers, providers and employees to design healthcare payment models emphasizing value and outcomes.

Aon Hewitt surveyed close to 800 mid-size to large U.S. employers representing more than 7 million employees, finding 53 percent of respondents said cost-effective health plan payment models are part of their future healthcare strategy. One in five placed such initiatives among their top five priorities.

The survey identified two domains of strategies employers are attempting to promote more cost-effective payment models:

Pay-for-performance. Almost one third of employers index payments to healthcare vendors based on performance targets, with another 44 percent considering doing so within three to five years. Medical homes and other integrated delivery model were in use by 14 percent of employers, although 61 percent plan to do so in the coming years.

Reference- and value-based pricing. Eight percent of companies said they define payment levels for medical services with high price variability, but 62 percent of them are considering such policies in the future. More than half of surveyed companies claimed they intend to promote use of high-quality hospitals and physicians for certain treatments. Compared to 21 percent today, 38 percent of employers intend to join a cooperative purchasing group or form one with other employers.

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