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Build a budget-friendly employee benefits package

Show employees you mean business by offering affordable and comprehensive health care benefits. A healthy benefits package not only improves employee retention, it’s a table stake in recruiting top talent.

With all the options on the market today, it’s possible to prioritize both the health of your employees and the health of your bottom line. Discover some of the most popular and innovative tools to consider when designing or re-designing your group health insurance plans.

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Percentage of Americans who say health insurance was a deciding factor or positive influence in choosing their current jobs

- America’s Health Insurance Plans (AHIP) survey

Virtual care
Convenience
Behavioral health support
Savings
Non-emergency care
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Woman looking at her prescription bottle

Care on their terms

Employees can have an appointment with a provider 24/7/365 over the phone, video or secure instant messaging. The doctor can even send a prescription to the nearest pharmacy.

Now how about that?

Prioritize mental health

Therapy costs can add up quickly. Most virtual care appointments are under $100 and more convenient than in-person sessions.

Spend less with virtual care

A Regence study showed that consumers saved, on average, about $100 per visit by using virtual care instead of in-person office, urgent care or emergency room visits.

Manage common conditions

Regence member Tami used virtual care for a case of pink eye. In minutes, she had a diagnosis, and a prescription sent to her local pharmacy. Her cost for the appointment: under $50.

Value-based care
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Balance costs and quality with coordinated care

From medical neighborhoods to accountable care organizations, there are many emerging network models in health care today. They all fall under the umbrella of value-based care, an approach that yields healthier outcomes, better patient experiences and cost savings.

Sign in

When working on employee benefits planning, here’s what to consider when evaluating value-based health plan partners:

  • Offerings: What’s available where your employees live and work?
  • Age: How long has the program been in place?
  • Relationships: How do the health plan and the provider practices collaborate to understand local dynamics?
  • Reach: Is the health plan’s value-based provider network available everywhere you have employees?

Value-based care arrangements led to cost savings and healthier outcomes in Regence's four-state coverage area:

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1.5% fewer

hospital admissions in 12-month period

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2.8% fewer

ER visits in 12-month period

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3% higher

statin adherence for cardiovascular disease

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2% higher

persistent medication management

Well-being and health coaches

Help employees with well-being and productivity

Getting and staying healthy can be a challenge. Life can get in the way, derailing us from losing those extra pounds, sticking to an exercise routine or shedding unhealthy habits. That’s where having some extra support can help.

A 6-to-1 return on investment

For every dollar spent on employee wellness, medical costs fall $3.27 and absenteeism drops $2.73.

Source: Harvard University

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Keep employees on track with health coaches

Many health plans today offer access to coaches who can work one-on-one with employees to reach their health goals—from reducing stress to getting better sleep. Employees can improve their performance in all aspects of life and work when they’re physically and mentally healthy.

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Motivate employees through well-being

Data from Regence shows that employees who have participated in a well-being program significantly lowered their risk factors for serious disease. Look for programs that offer more than biometric screenings, and truly consider what matters most to your employees, whether that’s financial support, flexible work schedules or mental health counseling.

Pharmacy

Stretch your health care dollars

Ensuring your employees can afford their medications is key to keeping them healthy and lowering their total cost of care.

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Smart choices drive savings

By using our Research medications tool—a medication transparency solution—an Oregon employer inspired employees to switch to highly graded, lower-cost cholesterol medications. The result: a significant drop in the average cost per claim.

What to consider

Whether employees need help managing chronic health conditions, have questions about generic medications or want home delivery services, there are plenty of pharmacy programs and tools you can offer to help them.

Home delivery: Employees get long-term prescriptions shipped right to their doorsteps.

Site of care: For infused medications, there may be more convenient and less-expensive options, such as getting treatment at home.

90-day fill: Having more supply of a medication on hand means fewer refills and less likelihood of missing a dose.

Specialty medications: Condition-specific care teams can help employees with medication management, benefit coordination and financial programs that may help lower out-of-pocket costs.

Pharmacist-designed clinical programs: Employees get extra support to manage chronic conditions and stay on track with treatment plans.

Medication transparency tools: Access to medication effectiveness, safety and cost information helps employees compare options and choose the best fit for their health and budget.

HDHPs/HSAs

Make health coverage more affordable

Pairing a high-deductible health plan (HDHP) with a health savings account (HSA) is a great way to give your employees more flexibility and responsibility over their own health care funds. Both you and your employees can contribute tax-free money to an HSA for medical expenses that insurance won’t cover as well as out-of-pocket expenses for covered care.

Here’s why an HDHP/HSA combination could be a win-win for you and your employees:

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Tax-free interest

HSA balances earn tax-free interest. Once employees reach a determined account balance, they can invest their HSA funds for better saving potential. Learn more about HSAs.

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Tax-free funds

If they’re used for qualified medical costs, HSA funds are free from federal and most state income tax penalties, unlike funds in a traditional IRA.

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Low cost, high returns

For both you and your employees, HDHPs deliver the highest return on investment, on average, among health care plans. Monthly premiums are lower than most conventional plans.

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Security

Since HSA balances roll over from year to year, your employees can save for future medical costs while managing their present-day health care.

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Employee-owned

Unlike flexible spending accounts (FSAs), employees own their HSAs, even if they change health plans, retire or leave their jobs.

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Full preventive coverage

HDHPs cover in-network preventive services at 100%, accounting for employees’ basic care just like a PPO.

Cost transparency

Compare costs and save on medical procedures

With cost transparency tools, employees can compare their out-of-pocket costs for procedures at different facilities. That way, they can shop around for the care that best fits their budget—whether that’s close to home or across town.

Shop for the best price

The cost of medical tests and procedures can vary by hundreds or even thousands of dollars depending on where you go and the provider who treats you. In this case, the cost differences for a colonoscopy are eye-opening.

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Find the right tools

When evaluating cost transparency tools, make sure they’ll help employees with everything from estimating expenses and finding network providers to understanding quality ratings and figuring out procedure and recovery times.

More resources

Regence members can use the Cost Estimator to compare prices of hospital stays, MRIs, surgeries, X-rays and more based on their deductible and out-of-pocket maximum. To see how medical costs stack up in your area, check out the Health Cost Institute’s Healthy Marketplace Index.

ER vs urgent care

Get the right care in the right place for the right price

Not every medical condition requires a visit to the emergency room, but many people go there without considering other options, such as urgent care. Educating your employees about where to go and when not only ensures they find the best care for their health concerns, it could also save them hours of wait time and spare them excessive costs.

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Planning ahead saves money

Treatment for the same diagnosis can cost up to 10 times more in the ER than in an urgent care center.

Know where to go

Studies show billions of dollars could be saved every year if patients sought treatment outside the ER for non-urgent issues. Encourage your employees to locate in-network options ahead of time so they know where to go if they need immediate care.

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Emergency room

  • Bleeding that doesn’t stop after 10 minutes of direct pressure
  • Signs of a heart attack, such as chest pains that last more than two minutes
  • Major injuries, such as broken bones, partial or total amputation of a limb, or trauma to the head
  • Suicidal feelings
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Urgent care

  • Cuts or wounds where bleeding is controlled
  • Sprains, strains or bruises
  • Mild or moderate asthma attacks
  • Flu-like symptoms, such as sore throat, fever, coughing and congestion
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Virtual care

  • Joint aches and skin infections
  • Infections of the urinary tract, ear or upper respiratory system
  • Pink eye
  • Rashes, insect bites or sunburns