With many employers in the midst of their healthcare renewal, I wanted to again take the opportunity to educate employers that a better path with far better results really does exist when purchasing healthcare.
I will use a bit of satire to highlight a few hypothetical everyday purchasing situations that most people would deem completely unacceptable, yet when purchasing employer healthcare, they are widely accepted as the norm.
This is what we refer to at Andus as the “Status Quo”.
Sounds insane yet it happens every day to employers that have fully insured programs with major insurance carriers.
The carrier owns and controls all of the relevant data regarding the key cost drivers in your plan and they choose whether or not to share it with you and if so what format.
Sounds crazy, but yet again it happens every day to fully insured employers. To further complicate matters, the insurance carriers give you erroneous pricing through PPO, HMO, and POS platforms.
In many cases employers have 2-3 plans that are really disguised as one plan and yet they pay a significant difference in price for each plan. Getting back to the car analogy, the consumer now controls the purchasing process.
They know what car they want, they know the cost of the features they want and they know what they want their monthly payment to be before they ever even visit a showroom. In fact car dealers when pressed will tell you, they make very little money when selling a new car.
Educated buyers of healthcare can experience many of the same advantages.
Also important to note, there may be employers reading this that are fully insured that say we are receiving our data because we have more than 100 employees on our plan.
Unfortunately, that data is not only limited in scope but also misleading and presented to you in a way that supports the insurance carrier’s objective which is for you to PAY MORE!
In summary, as long as employers continue to allow the carrier to own and control their medical and pharmacy claims data, they will continue to be faced with a host of bad decisions all in a futile attempt to mitigate annual increases.
On the other hand, if you desire a different path where control, transparency, and cost containment rule the day, please reach out to me.
Anthony Martinelli – President
Andus Health Benefits