United Benefit Advisors Insight and Analysis Blog

PPOs Dominate Despite Savings with HMOs and CDHPs

By Bill Olson, VP, Marketing & Communications at United Benefit Advisors
  Nov 7, 2017 9:30:00 AM

Latest health plan benchmarking data now availableThe findings of our 2017 Health Plan Survey show a continuation of steady trends and some surprises. It’s no surprise, however, that costs continue to rise. The average annual health plan cost per employee for all plan types is $9,934, an increase from 2016, when the average cost was $9,727. There are significant cost differences when you look at the data by plan type.

Cost Detail by Plan Type

Health Plan Cost Detail by Plan Type

PPOs continue to cost more than the average plan, but despite this, PPOs still dominate the market in terms of plan distribution and employee enrollment. PPOs have seen an increase in total premiums for single coverage of 4.5% and for family coverage of 2.2% in 2017 alone.

HMOs have the lowest total annual cost at $8,877, as compared to the total cost of a PPO of $10,311. Conversely, CDHP plan costs have risen 2.2% from last year. However, CDHP prevalence and enrollment continues to grow in most regions, indicating interest among both employers and employees.

Across all plan types, employees’ share of total costs rose 5% while employers’ share stayed nearly the same. Employers are also further mitigating their costs by reducing prescription drug coverage, and raising out-of-network deductibles and out-of-pocket maximums.

More than half (54.8%) of all employers offer one health plan to employees, while 28.2% offer two plan options, and 17.1% offer three or more options. The percentage of employers now offering three or more plans decreased slightly in 2017, but still maintains an overall increase in the last five years as employers are working to offer expanded choices to employees either through private exchange solutions or by simply adding high, medium-, and low-cost options; a trend UBA Partners believe will continue. Not only do employees get more options, but employers also can introduce lower-cost plans that may attract enrollment, lower their costs, and meet ACA affordability requirements.

For a detailed examination of the key findings, download UBA’s free 2017 Health Plan Survey Executive Summary. To benchmark your exact plan against others in your region, industry or size bracket, contact a UBA Partner near you to run a custom benchmarking report.

Topics: PPO, health plan cost trends, UBA Health Plan Survey, preferred provider organization