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National Survey Shows Employee Fears About Consumer-Driven Health Plans on Decline
Date:9/12/2007

an, 54 percent cited concerns among employees about high out-of-pocket costs as the principal reason for not enrolling in a CDH plan. That figure is down from 66 percent in 2006.

"There is a growing recognition that most employees do not want a medical plan with high out-of-pocket costs," Sharon said. "Therefore, most companies with CDH enrollments of 40 percent or more have designed CDH plans with out-of-pocket maximums comparable to their more-traditional HMO and PPO plans. In addition, employers have used out-of-pocket cost comparisons to show employees the relative cost advantages of the CDH plan." (See health plan out-of-pocket cost comparison chart, page 5).

Employers offering CDH plans

The survey found that 83 percent of employers offer a CDH plan in addition to other healthcare plans, with the remaining 17 percent offering CDH plans in lieu of more traditional health plans.

"This finding has held pretty steady over the past five years," Sharon said. "The majority of employers offer CDH as an optional plan, since these plans operate very differently from an HMO or PPO, and it takes time for employees to become comfortable with a new plan type." The main drivers behind employers offering CDH plans are similar to the reasons stated in the 2006 survey: To introduce consumerism into the purchasing of health care for long-term change (47 percent) and to control rising healthcare costs (33 percent).

The survey found the CDH plan models and contribution levels to be consistent with 2006 as well. Forty-two percent of employers are using health reimbursement arrangements (HRA)(1), 48 percent are using health savings accounts (HSA)(2) and 10 percent are offering both. Of the employers offering an HSA, 67 percent contribute either a flat dollar amount of less than $500 per person (17 percent), $500 or more (40 percent) or match employee contributions (10 percent).

Employers without a CDH plan

Similar to 2006, 42 percent of emplo
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SOURCE Aon Corporation
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