‘Actively’ Promoted by Employers, High Deductible Health Plans Gain Ground Among Workers

employer plans with deductibles percentsThat employers have been shifting the increased cost of health benefits to their employees is hardly news. Now a new study of healthcare use shows just what that means to workers.

According to Medicine Use and Shifting Costs of Healthcare: A Review of the Use of Medicines in the United States in 2013, workers today have deductibles 150 percent higher than just five years ago, while nearly 8 in 10 plans have a general deductible of $1,000 or more.

From zero a decade ago, plans with the highest deductible — and the lowest premiums — now account for 20 percent of worker plans. These high-deductible health plans and HSAs have cut deeply into the HMO offerings that accounted for 45 percent of plans in 2004. Now, HMOs and other plans have a 23.5 percent share.

The report compiled by the IMS Institute for Healthcare Informatics says employers have been “actively encouraging” workers to adopt the high-deductible plans, noting “17 percent of employers only offered high deductible plans in 2013, up 31 percent from 2012.”

Coincidentally, out-of-pocket costs for prescription drugs is declining. The Institute found it now averages $5 for about 57 percent of the retail prescriptions filled. Almost a quarter of all prescription meds now have no out-of-pocket.

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According to the report’s findings:

  • Plans with general deductibles, which can apply to both medical procedures and prescription drugs, now account for 78 percent of plans, and more than half of those plans have a deductible of $1,000 or more.
  • 38 percent of employer-sponsored insured workers have a deductible of more than $1,000. That’s almost a four-fold increase since 2006.

Despite these increases in deductibles and plan thresholds, visits to doctors increased 2.7 percent last year, the first increase in four years. The increase was fueled by visits to specialists, which were up 4.9 percent, offsetting the .7 percent decline in visits to primary care doctors. Visits overall, however, are still appreciably below where they were in 2008.

The Institute’s report is a survey of healthcare usage generally, and not specific to employer plans. Much of the report is focused on spending on prescription medicines, which came to $329.2 billion in 2013, a 3.2 percent increase from the previous year. The report also includes data on what types of drugs are being bought, as well as co-pays. There’s data on hospital care as well.

John Zappe is the editor of TLNT.com and a contributing editor of ERE.net. John was a newspaper reporter and editor until his geek gene lead him to launch his first website in 1994. He developed and managed online newspaper employment sites and sold advertising services to recruiters and employers. Before joining ERE Media in 2006, John was a senior consultant and analyst with Advanced Interactive Media and previously was Vice President of Digital Media for the Los Angeles Newspaper Group.

Besides writing for ERE, John consults with staffing firms and employment agencies, providing content and managing their social media programs. He also works with organizations and businesses to assist with audience development and marketing. In his spare time  he can be found hiking in the California mountains or competing in canine agility and obedience competitions.

You can contact him here.


3 Comments on “‘Actively’ Promoted by Employers, High Deductible Health Plans Gain Ground Among Workers

  1. Thanks, John. Just another jolly bit of news about the most expensive and least effective healthcare system in the industrialized world….


  2. A lot of people have trepidation when considering these plans. At the end of the day, they’re probably the plans most people want and need, and lots of people I know of who have tried them have also found their doctors and pharmacists go out of their way to help them get low prices for cash payments. No BS with insurance or medicare or medicaid saves them a ton of money, they often pass that on to the patient. Augment your insurance with an HSA and you can make it work. People with chronic conditions though are usually better off on traditional insurance, costwise.

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