TAILIEUCHUNG - Raising the Bar on Health Care - Moving Beyond Incremental Change

Life expectancy is the average number of years that an individual is expected to live if mortality patterns remain unchanged for the duration of his or her lifespan (WHO 2008). Life expectancy at birth is greater today than it was in 1995 for women from all parts of Europe, a result of better living conditions and health care and greater awareness of health issues (EUROSTAT 2008a). The greatest increases since 1995 have been observed in Estonia ( years) and other Eastern European countries, as well as in Ireland ( years) (EUROSTAT 2009). For female children born in 2006, life expectancy. | North America Raising the Bar on Health Care Moving Beyond Incremental Change 2010 15th Annual National Business Group on Health Towers Watson Employer Survey on Purchasing Value in Health Care National Business Group on Health TOWERS WATSON . jk . JZ - L X i fE. F 5 J t -nii- i. . .7 -. -r i - . v -Ị V. r North America 2010 Table of Contents Employer Survey on Purchasing Value in Health Care Key Findings Employers Growing Concerned 4 Waning Confidence 4 Challenges and Barriers 4 Medical Vendor Effectiveness 6 Cost Trends 8 Defining Best and Consistent Performers 9 Employers Taking Action 11 Responding to the Economic Crisis 11 Raising the Bar on Financial Incentives 12 On the Rise On the Slide 13 Consumer-Directed Health Plans 15 The Way Forward 18 Keys to Consistent Performance 18 Appropriate Financial Incentives 20 Health and Productivity 22 Effective Information Delivery 22 Health Metrics 24 Quality 25 At a Glance The prolonged economic downturn is putting additional pressure on companies to change their health care programs to help relieve financial strain. Annual median health care cost increases rose slightly in 2009 to 7 compared with 6 in 2008. This pace is still more than twice the rate of inflation. Today 54 of companies have a consumer-directed health plan in place a 6 increase over last year s findings. This figure is expected to increase to 61 in 2011. Incenting Participation in Wellness Programs 25 Conclusion 28 Featured Figures Figure 4. Declining confidence that employers will offer health care benefits a decade from now 4 Figure 11. Impact of health care reform on costs quality and access 7 Figure 12. Health care cost increases apparently reaching a plateau 8 Figure 17. Actions to defray costs of health care plans 11 Figure 21. Programs and strategies on the rise and slide 14 Figure 22. The continuing rise of CDHPs 15 Figure 39. Health management program participation and cost trends .

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