How the Curve is Already Bending

By Evan Falchuk

Bad news in the paper today: health care costs are expected to rise another 10.5% next year. It’s a serious problem that affects businesses and families across the country.

But the headlines miss something important: the rate of increase has been steadily slowing.

Are we already bending the health care cost curve?

Here is a chart of the rate of increase in health premiums for a PPO plan beneficiary from 2002-2009 (all data are from today’s Aon press release):

curve1

The data for other plan types are similar.  What’s happening?

Aon’s Chief Medical Officer Paul Berger says it’s because of the variety of measures employers have taken over the last several years to implement programs to improve their employees’ health.  He emphasizes there is still much more to be done.

He has a point. It’s something we have seen in our survey of major employers, and in the work that leading employers like EMC and Genzyme are doing.  It’s what my company does, too.  Employers are getting increasingly sophisticated at understanding what drives their health care expenses and are developing increasingly effective ways at addressing them.

So, yes, of course, we need reform of our health care system, and of course rising health care costs are a serious concern.  But American employers are doing something about these problems all on their own.

  • Bill Howland

    That is compelling data and positive news, but double-digit expense growth remains tough to endure over time.

    I expect businesses (especially smaller employers) in mature and highly competitive industries will still struggle to sustain growth that allows them to deal with that rate of expense growth.

  • http://notebuyer.livejournal.com Arnold Williams

    The employers can approach this in two ways: not hiring or downsizing those who use their sick leave, or getting employees discount memberships at a nearby gym and making a little room in the day for employees to use it.

    One of these is easier than the other.

  • http://brassandivory.blogspot.com Lisa Emrich

    Well, this might be nice for employers but it is not the experience of this self-employed person. Here were the percentage increases in premiums from 2000-2009 for my individual PPO plan:

    2001 4.6%
    2002 2.5%
    2003 22.2%
    2004 18.2%
    2005 1.3%
    2006 -2.5% (yes, a decrease)
    2007 19.9%
    2008 18.8%
    2009 31.0% (yes, 31.0%!!!!!)

    Yes, 186% increase in 9 years (from $151 to $431) for an underwritten policy.

  • http://twitter.com/efalchuk Evan Falchuk

    Hi Lisa, it’s always nice to hear from you….although it’s not so nice to see those awful figures.

    Individuals and small groups get a very bad deal in the US market. I’ve blogged a lot about that here.

    Comparing your experience with that of the Aon survey really illustrates that point. It’s very different it for large employers who get to opt-out of the insurance market by self-insuring.

    They can, to some degree, control health care costs, while you are at the mercy of whatever it is that led your insurer to give you those wildly fluctuating rates.

    Thanks again for commenting!

    Evan

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