National Business Group on Health Large Employers 2018

National Business Group on Health® Large Employers’ 2018 Health Care Strategy and Plan Design Survey Takeaways

Trends in 2018 § Respondents expect an average 5% increase in healthcare costs § Top cost drivers include specialty pharmacy costs, high-cost claimants and specific disease/conditions § Adoption of consumer driven health plans continues to trend upward: ü By 2020, 90% of employers will offer CDHPs ü Many offering it as the only option ü Employees will need resources and support to help them make informed decisions Source: National Business Group on Health® Large Employers’ 2018 Health Care Strategy and Plan Design Survey, August 2017 2

The use of Healthcare Concierge Tools has grown: Employers view high-touch concierge/navigator/shared-decision making services as a value-based benefit design strategy and a means to reduce further cost-sharing with employees The use of these tools & programs jumped from 2017 to 2018 47% increase in number of companies offering medical decision support and second opinion services 28% increase in high-touch concierge services 25% of respondents ranked high-touch health concierge or navigator services as one of their top three most effective cost-control strategies Source: National Business Group on Health® Large Employers’ 2018 Health Care Strategy and Plan Design Survey, August 2017 3

Expanding Behavior Health Benefits: In addition to offering access to EAPs, employers are expanding their behavioral health benefits. 53% plan to offer self-directed online resources 23% plan to offer manager training 16% plan to offer employee training Source: National Business Group on Health® Large Employers’ 2018 Health Care Strategy and Plan Design Survey, August 2017 4

Expanding Telehealth Benefits: Telehealth continues to surge 96% of large employers now offer this benefit, either through health plans or directly with outside vendors. 56% of employers are expanding telehealth to include behavioral health 52% of employers are expanding to include primary care services Source: National Business Group on Health® Large Employers’ 2018 Health Care Strategy and Plan Design Survey, August 2017 5