PWC White Paper

“There is a sense among employers that it is time to think creatively and broadly about changing the system. In 2020, medical cost trend will continue its march upward, but not without employers working to slow and perhaps even stop that march.”

This PWC (see link below) report is a good read. Two paragraphs worth noting:
“2020 likely will be, in some ways, a turning point in the long arc of employer-sponsored insurance, a year in which more employers fight back using new tools and strategies to control the ever-growing costs to their own organizations, their employees and their families. Dissatisfaction with the system
is widespread among all stakeholders, and there is a sense among employers that it is time to think creatively and broadly about changing the system. In 2020, medical cost trend will continue its march upward, but not without employers working to slow and perhaps even stop that march.”
“Centivo, a health plan administrator designed for self-funded employers, sees its role as helping employers organize a health plan designed around high performance and value for them and their employees.109 One area of focus—referrals. An employer may offer special carve-out services, but if the employee is being referred elsewhere, it defeats the purpose. “We are making referrals data-driven and based on results,” said Ashok Subramanian, co-founder and CEO of Centivo, in an interview with HRI. Centivo also helps the employer play a more active role. “We help employers recognize it is their job to find, locate and help their employees get affordable, high-quality care. Once employers recognize this, we help them achieve it,” Subramanian said.”

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