Health plan usage data

Friday, May 1, 2009 by Stephen Day
At Management 2000, one of our Employee Benefit Advisor's  uncovered a recent report from Watson Wyatt Worldwide which states that on average:

8% of Americans have health Claims in excess of $12,000, These folks make up 70% of the dollars paid on claims paid from health insurance policies

24% of Americans have health Claims in excess of $1,200, but less than $12,000. These folks make up 23% of the dollars paid on claims from health policies

68% of Americans have health claims in excess of $150, but less than $1,200.  These folks make up 7% of the dollars paid on claims from health polcies

So a total of 92% of all Americans use $1,200 or less per year in medical services leaving 8% of Americans that use $12,000 or more per year.  8% of Americans use 70% of the claim dollars versus 30% use a smaller portion of medical services.

What does this mean to the average Employer?  One conclusion that fits most businesses is that you are paying too much to insurance companies at the expense of your business by having low deductibles and co-pays.  Let Management 2000 show you better strategies to manage you benefits dollar and the risk associated with.


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