There’s an enormous amount of waste & inefficiency in musculoskeletal benefits. The primitive benefit designs prevalent in most companies keep employees away from discovering the actual cost of care. The existing system is constantly shifting costs to employees, often without informing people of those costs in advance. This creates no incentive whatsoever for employees to…
Category: Plan design
Employer considerations before adopting a value-based MSK benefit plan
The promise of value-based care is to deliver the best outcomes at a lower cost. Providers are incentivized to keep members healthy by proactively managing the health needs of the members, delivering high quality care while reducing the use of unnecessary tests and treatment. Self-funded employers have a lot to gain from this model in higher quality,…
Why wellness should be a part of dynamic value-based plan design
According to RAND corporation, about 80% of large employers in U.S. offer wellness programs. Despite a significant spend (over $8 billion annually) by employers on these programs for over 20 years, participation by employees as well as the program's ROI remains poor. We can think of three possible reasons: Lack of targeting Lack of evidence Lack of…