Infographic: Six Health Plan Design Changes To Maximize ROI

Friday, January 2nd, 2015
This post was written by Melanie Matthews

Employers are using a number of strategies to maximize health plan return on investment in light of increasing healthcare costs.

A new infographic by Towers Watson explores the strategies and approaches companies are adopting, such as new coverage or utilization restrictions on specialty pharmacy, employee accountability, technology and more.

Narrow Network Strategies and Trends for Health Plans and PBMsNarrow networks — for both medical and pharmacy providers — are gradually becoming more accepted by carriers, plan sponsors and patients. Smaller provider networks allow payers to manage overall healthcare costs while still maintaining access to benefits — an important consideration as plan designs become more commoditized in the age of public and private health insurance exchanges.

Narrow Network Strategies and Trends for Health Plans and PBMs outlines the tactics health plans are using to restrict medical and pharmacy networks while still maintaining adequate access to care and positive relationships with providers. It also summarizes case studies of health plans and PBMs that have formed narrow networks and the results they’ve seen.

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