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Slower growth in
healthcare costs could be the ‘new normal’ as long-term trends could
keep cost increases in check. As employers shift expenses to their
employees, for example, these workers are pursuing lower-cost
alternatives. Even as the economy strengthens, changes in behavior by
employers and consumers may help limit medical growth.
Health Research Institute (HRI) of PwC US explores the leading cross
currents likely to shape medical cost trend next year. One of two
factors expected to “inflate” the trend in 2013 is an uptick in the
consumption of healthcare as newly hired workers obtain coverage and
patients who postponed elective procedures feel more confident about
spending. Medical and technological advances that provide more
specialized, sophisticated and expensive treatment also are expected to
push up overall healthcare spending.
Four factors HRI expects will “deflate” the medical cost trend in 2013
are: Market pressure to reduce medical supply and equipment costs;
increased popularity of new methods to deliver primary care; increased
availability of comparative cost information; and accelerated savings
from the pharmaceutical patent cliff.
In this session, PricewaterhouseCoopers' Michael Thompson and Jack
Rodgers expand upon significant research findings from two major PwC
studies: the 2013 PwC Health Research Institute Behind the Numbers
Report and PwC’s 2012 Touchstone Health and Well-being Employer Survey.
The speakers will then offer resulting PwC insights on emerging
megatrends for employer health strategy over the next 3-5 years.
The PwC 2013 Behind the Number Report indicates that U.S. employers can
expect to see healthcare costs rise by 7.5 percent in 2013, compared
with an increase of 8.5 percent in 2012, according to the annual Behind
the Numbers report on medical cost trends, published by PwC’s Health
Research Institute. The projection continues a pattern of slower medical
growth, a reflection of the sluggish economy, increased focus on cost
containment by the industry, lower use of services by cost-conscious
patients and efforts by employers to hold down expenses.
According to the PwC 2012 Health and Well-Being Touchstone Survey
employers are focused on two primary strategies to control medical costs
in 2013: increasing the employee share of costs and expanding health and
wellness programs. The survey also showed that plan design features with
the most significant changes in 2012 were a considerable increase in
in-network deductibles, emergency room co-payments and prescription drug
co-payments.
This event provides stakeholders - including employers, health plans,
providers and pharmaceutical companies - the opportunity to not only
possess cutting-edge data on a spectrum of employer health plan benefit
issues, but also gain key specific insights into how employers are
positioning themselves strategically for incremental changes in the
short term and more transformational changes over the next five years.
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Participants will be able to:
- Identify emerging megatrends for employer health strategy
over the next 3-5 years
- Explore PwC research data findings from the Behind the
Numbers 2013 Medical Cost Trend Report and the 2012 Touchstone
Health and Well-being Employer Survey
- Consider the implications for Employers and other applicable
stakeholders regarding PwC research findings
- Understand the primary deflators and inflators driving
current medical cost trends
- Examine the range of actions and changes employers are
undertaking or planning in regard to the health benefit
environment
- Engage in interactive learning through online question
submission, attendee feedback and opportunity for follow up
questions, and networking with attendees, faculty and other
professionals through dedicated LinkedIn group
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Interested attendees would include:
- C-Suite Executives
- Health Benefit Executives and Staff
- Human Resources Executives
- Strategy and Planning Executives and Staff
- Marketing Executives
- Business Development Executives
- Actuarial Executives and Staff
- Business Intelligence Staff
- Informatics and Analytics Executives and Staff
- Other Interested Parties
Attendees would represent
organizations including:
- Employers
- Health Plans
- Third Party Administrators
- Agents and Benefit Consulting Organizations
- Pharmaceutical Organizations
- PBMs
- Provider Networks and Accountable Care Organizations
- Hospitals and Health Systems
- Solutions Providers
- Associations, Institutes and Research Organizations
- Media
- Other Interested Organizations
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Individual Registration Fee: $195. Audio Conference CD-ROM: $40
for attendees; $285 for non-attendees after the event.
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Michael Thompson is a Principal at PricewaterhouseCoopers
with over 25 years of experience in healthcare and employee
benefits strategy, product development and implementation,
design, financing, operations and analysis. Mike consults
with major employers and other stakeholders on sustainable
cost reduction, integrated health, wellness and consumerism,
retiree health, and health reform.
Mike serves as one of PwC's national thought leaders for
health strategies for the health industries practice,
leading subject matter specialist on health reform and has
participated on the steering board of the World Economic
Forum "Working for Wellness" initiative. For the past decade
has been a leader in developing and promoting collaborative
cross-sector health industry initiatives.
Mike is a Fellow of the Society of Actuaries (SOA) and
serves on the Health Practices Committee, Disease Management
Committee, Medicare Committee as well as chair of the
Quality Initiatives Work Group of the American Academy of
Actuaries (AAA) which has release issue briefs on pay-for
performance, comparative effectiveness and value-based
insurance design. Mike also serves on the boards of the New
York chapter of the National Alliance on Mental Illness and
the New York Business Group on Health.
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Dr. Jack Rodgers has more
than thirty years of experience with federal health policy
and legislation related to health services and healthcare
reform. He has written extensively about issues such as
expanding health insurance coverage, Medicare provider
reimbursement, and healthcare systems reform. While at PwC,
Jack has assisted major healthcare organizations in
evaluating the impact of federal legislation from the
Clinton health proposals in 1993-1994 to the current
economic stimulation package.
During the past eight
years, he has written extensively on the impact of the
Medicare prescription drug benefit on the various healthcare
industry stakeholders. He served as a consultant to
President Clinton's White House Task Force on Health Reform
as part of a group of experts who audited the quantitative
estimates of the President's health reform plan.
Before joining PwC, Jack
was principal analyst for health at the Congressional Budget
Office for nine years where he worked on the 1987 Medicare
prescription drug legislation and also analyzed the first
Bush Administration’s proposals to expand coverage. He holds
a Ph.D. in Economics from the University of Minnesota. |
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