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Health Care Benchmarking

    
 

SHRM 2013-2014 Health Care Benchmarking: 6 Industries, 5 Geographic Regions, and 4 Employee Sizes

By SHRM
2013, 262 pages, Paperback
ISBN: 978-1-58644-353-5
SHRMStore Item #: 61.11002-3

Buy now at the SHRMStore

The purpose of this annual resource is to provide HR professionals and other business executives with key health care benefits measures. In business, where the need to measure is strong, benchmarking can help identify an organization's strategic benefits plan's strengths and weaknesses, create a framework for managing change, and encourage employees toward continuous improvement.

Yet for some HR professionals, when it comes to measuring benefits plans, concrete measures can feel elusive. Numbers that relate to the context of a specific business, particularly the same industry, employee size, and geographic location, are usually difficult to find. But it is precisely this organizational profiling that is most beneficial to enable similar organizations to compare themselves to each other.

The 6 industries covered in this book are
* Finance
* Government
* Health Care Services
* High Tech
* Manufacturing (Durable Goods)
* Manufacturing (Non-Durable Goods)

Plus combined totals.

The 5 geographic regions are the
* Northeast
* Southeast
* North Central
* Southwest Central
* Pacific West

The 4 employee sizes are
* Under 250 FTE
* 250 to 999 FTE
* 1,000 of more FTE
* All FTE's combined

2013-2014 Health Care Benchmarking contains more than 60 metrics about health care plans, such as premiums, deductibles, and co-pay amounts, which are detailed enough to assist HR professionals in managing benefits plans for their organization.

TABLE OF CONTENTS

INTRODUCTION
HEALTH CARE GLOSSARY OF METRIC TERMS, DEFINITIONS, AND CALCULATIONS
ORGANIZATIONAL DATA
* Table 1. Health Maintenance Organization: Co-Pay for In-Network Primary Care Office Visits for Employee-Only Coverage
* Table 2. Health Care Coverage and Stop Loss Coverage Prevalence: Percentage of Organizations Providing Spouse Health Care Coverage
* Table 3. Health Care Coverage and Stop Loss Coverage Prevalence: Percentage of Organizations Providing Same-Sex Domestic Partner Health Care Coverage
* Table 4. Health Care Coverage and Stop Loss Coverage Prevalence: Percentage of Organizations Providing Opposite-Sex Domestic Partner Health Care Coverage
* Table 5. Health Care Coverage and Stop Loss Coverage Prevalence: Percentage of Organizations with Self-Funded Health Care
* Table 6. Health Care Coverage and Stop Loss Coverage Prevalence: Percentage of Organizations with Stop Loss Coverage
* Table 7. Employee Participation and Plans Offered: Percentage of Employees Enrolled
* Table 8. Employee Participation and Plans Offered: Percentage of Organizations Offering Health Care Plans
* Table 9. Employee Participation and Plans Offered: Number of Health Care Plans Offered
* Table 10. Health Care Cost, Waiting Period and Stop Loss Coverage Amount: Total Annual Health Care Cost per Covered Employee
* Table 11. Health Care Cost, Waiting Period and Specific Stop Loss Coverage Amount: Waiting Period for Coverage for New Employees (in Months)
* Table 12. Health Care Cost, Waiting Period and Specific Stop Loss Coverage Amount: Amount of Stop Loss Coverage
* Table 13. Health Care Costs for All Plans Combined: Employer Contribution to Monthly Health Care Premium for Employee-Only Coverage
* Table 14. Health Care Costs for All Plans Combined: Percentage of Premium Employer Pays for Employee-Only Coverage
* Table 15. Health Care Costs for All Plans Combined: Percentage of Premium Employer Pays for Spouse or Domestic Partner Coverage
* Table 16. Health Care Costs for All Plans Combined: Annual In-Network Deductible for Employee-Only Coverage
* Table 17. Health Care Costs for All Plans Combined: Annual Out-of-Network Deductible for Employee-Only Coverage
* Table 18. Health Care Costs for All Plans Combined: Co-Pay for In-Network Primary Care Office Visits for Employee-Only Coverage
* Table 19. Health Maintenance Organization: Employer Contribution to Monthly Health Care Premium for Employee-Only Coverage
* Table 20. Health Maintenance Organization: Percentage of Premium Employer Pays for Employee-Only Coverage
* Table 21. Health Maintenance Organization: Percentage of Premium Employer Pays for Spouse or Domestic Partner Coverage
* Table 22. Health Maintenance Organization: Annual In-Network Deductible for Employee-Only Coverage
* Table 23. Health Maintenance Organization: Annual Out-of-Network Deductible for Employee-Only Coverage
* Table 24. Health Maintenance Organization: Co-Pay for In-Network Primary Care Office Visits for Employee-Only Coverage
* Table 25. Exclusive Provider Organization: Employer Contribution to Monthly Health Care Premium for Employee-Only Coverage
* Table 26. Exclusive Provider Organization: Percentage of Premium Employer Pays for Employee-Only Coverage
* Table 27. Exclusive Provider Organization: Percentage of Premium Employer Pays for Spouse or Domestic Partner Coverage
* Table 28. Exclusive Provider Organization: Annual In-Network Deductible for Employee-Only Coverage
* Table 29. Exclusive Provider Organization: Annual Out-of-Network Deductible for Employee-Only Coverage
* Table 30. Exclusive Provider Organization: Co-Pay for In-Network Primary Care Office Visits for Employee-Only Coverage
* Table 31. Preferred Provider Organization: Employer Contribution to Monthly Health Care Premium for Employee-Only Coverage
* Table 32. Preferred Provider Organization: Percentage of Premium Employer Pays for Employee-Only Coverage
* Table 33. Preferred Provider Organization: Percentage of Premium Employer Pays for Spouse or Domestic Partner Coverage
* Table 34. Preferred Provider Organization: Annual In-Network Deductible for Employee-Only Coverage
* Table 35. Preferred Provider Organization: Annual Out-of-Network Deductible for Employee-Only Coverage
* Table 36. Preferred Provider Organization: Co-Pay for In-Network Primary Care Office Visits for Employee-Only Coverage
* Table 37. Point of Service: Employer Contribution to Monthly Health Care Premium for Employee-Only Coverage
* Table 38. Point of Service: Percentage of Premium Employer Pays for Employee-Only Coverage
* Table 39. Point of Service: Percentage of Premium Employer Pays for Spouse or Domestic Partner Coverage
* Table 40. Point of Service: Annual In-Network Deductible for Employee-Only Coverage
* Table 41. Point of Service: Annual Out-of-Network Deductible for Employee-Only Coverage
* Table 42. Point of Service: Co-Pay for In-Network Primary Care Office Visits for Employee-Only Coverage
* Table 43. Indemnity: Employer Contribution to Monthly Health Care Premium for Employee-Only Coverage
* Table 44. Indemnity: Percentage of Premium Employer Pays for Employee-Only Coverage
* Table 45. Indemnity: Percentage of Premium Employer Pays for Spouse or Domestic Partner Coverage
* Table 46. Indemnity: Annual In-Network Deductible for Employee-Only Coverage
* Table 47. Indemnity: Annual Out-of-Network Deductible for Employee-Only Coverage
* Table 48. Indemnity: Co-Pay for In-Network Primary Care Office Visits for Employee-Only Coverage
* Table 49. Consumer-Driven Health Plan - High Deductible Plan: Employer Contribution to Monthly Health Care Premium for Employee-Only Coverage
* Table 50. Consumer-Driven Health Plan - High Deductible Plan: Percentage of Premium Employer Pays for Employee-Only Coverage
* Table 51. Consumer-Driven Health Plan - High Deductible Plan: Percentage of Premium Employer Pays for Spouse or Domestic Partner Coverage
* Table 52. Consumer-Driven Health Plan - High Deductible Plan: Annual In-Network Deductible for Employee-Only Coverage
* Table 53. Consumer-Driven Health Plan - High Deductible Plan: Annual Out-of-Network Deductible for Employee-Only Coverage
* Table 54. Consumer-Driven Health Plan - High Deductible Plan: Co-Pay for In-Network Primary Care Office Visits for Employee-Only Coverage
* Table 55. Consumer-Driven Health Plan - Health Savings Account and Health Reimbursement Account: Employer Contribution to Health Savings Account
* Table 56. Consumer-Driven Health Plan - Health Savings Account and Health Reimbursement Account: Maximum Allowable Employee Contribution to Health Savings Account
* Table 57. Consumer-Driven Health Plan - Health Savings Account and Health Reimbursement Account: Employer Contribution to Health Reimbursement Account
* Table 58. Prescription Drug Coverage: Employee Co-Pay for Generic Medication
* Table 59. Prescription Drug Coverage: Employee Co-Pay for Formulary Brand Medication
* Table 60. Prescription Drug Coverage: Employee Co-Pay for Non-Formulary Brand Medication
* Table 61. Prescription Drug Coverage: Employee Co-Pay for Generic Medication 90-Day Mail Order Supply
* Table 62. Prescription Drug Coverage: Employee Co-Pay for Formulary Brand Medication 90-Day Mail Order Supply
* Table 63. Prescription Drug Coverage: Employee Co-Pay for Non-Formulary Brand Medication 90-Day Mail Order Supply


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