Consumer-Driven Healthcare Plans

Many of the available consumer-driven healthcare plans (whether they are spending-account or tiered-model plans) are now categorized as high-deductible health plans. These plans are currently the fastest growing plan options on the market, growing over 25% in the past decade.Consumer-Driven Healthcare Plans Although they are low in cost, members’ willingness to access care in a high-deductible environment have brought about valid quality of care and access to care concerns.

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What are the advantages and disadvantages of a high-deductible/consumer-driven health plan? How would you best explain these points to your employees if your organization were changing to this type of coverage? Explain these items in a 200-word peer-reviewed source supported analysis (vs. posting opinions). Remember to use in-text citations in your post.Consumer-Driven Healthcare Plans

Your posts will be graded on how well they meet the Discussion Requirements posted in the “Before You Begin” section”. Please review this section, as well as the discussion scoring rubric.

Consumer Driven Health (CDH) Plans may be a more affordable, health care systems that offers high quality and sustainability. Many argue that CDH plans shift the costs for the consumer rather than reducing the costs. Some feel that CDH plans are designed for the young, healthy, and rich segment of the population. CIGNA, a well-known health insurance provider has, has conducted studies that compare CDH plans with preferred provider organization (PPO) and health maintenance organization (HMO) plans (Reindl, 2010). This study proves that CDH plans save employers and employees money while providing the care that they need. Another myth regarding CDH plans are causing individuals to sacrifice care that they need. There are some CDH plans that shirt the cost to the employee; thereby, reducing costs to the employer Employees are understandably hesitant to enroll in plans that are designed this way. CDH plans have the ability to reduce costs without compromising the care of patients by offering a benefit-neutral plan (Sunyaev, 2014).Consumer-Driven Healthcare Plans This approach can reduce costs without shifting costs to employees and offers value to those that may enroll. Many CDH plans offer online decision support tools that allow consumers to decide the quality healthcare at an affordable price. CDH plan consumers are more likely to use preventive service. CDH plans have an 8% increase in members utilizing preventative services than traditional plans. (Reindl, 2010).

Healthcare today is a very important issue. Lack of health insurance can affect the health and productivity of workers. Many people today do not have health insurance. Consumer-Driven Healthcare Plans Employment-based health insurance is in high demand to retain employees. The high healthcare costs make it hard for employers to offer employees quality health plans. The premiums for employers are increasing so they are forced to opt for cost-saving health insurance plans. Consumer-driven health plans are on the rise and have become an option for many employers. The Downfalls…show more content…
Employer contributions to these accounts are excluded from employees’ taxable income and individual contributions are tax deductible. (Contribution to HSAs) The amounts that are contributed by the employers into the Health Savings Accounts for employees are treated as employer-provided coverage for medical expenses. My class reading discuss that most of the Health Savings Accounts have high deductibles. The deductibles have to be met first so this leaves the employees with an out- of -pocket cost for their medical services.Consumer-Driven Healthcare Plans Numerous employees with high-deductible plans may postpone medical care and end up with severe conditions that might have been prevented. Consumer-driven health care plans and Health Savings Accounts might turn out to be another cause for the rise of health care cost instead of the resolution. There is no federal law that states that employers must offer employees health insurance benefits. Competitive requirements have resulted in the offering of employee-based health insurance plans to employees. Since employer-provided healthcare benefits are the major source of health insurance for most people for most employees, it is recommended that employers understand what types of health insurance plans their employees would like. Employers should really listen to better understand employee’s health care needs. They should offer a range of health plans that would fit all of their employees. Consumer-Driven Healthcare Plans

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