Page 20 - LHC Group
P. 20
Medical plan benchmarking — Healthcare industry
Medical plan design benchmarking –(Office of other health practitioners)
Medical plan contribution benchmarking –(Healthcare Industry)
PPO IN-NETWORK PLAN DEDUCTIBLE QHDHP IN-NETWORK PLAN DEDUCTIBLE Avg. Monthly EMPLOYEE Contributions by Tier –(PPO) Avg. Monthly EMPLOYEE Contributions by Tier –(QHDHP)
$7,000 $6,000 $9,000 $8,500 $900 $800
$6,000 $8,000 $6,889 $800
$7,000 $700
$5,000 $4,145 $6,000 $5,400 $700 $600
$4,000 $5,000 $4,250 $600 $500
$2,800 $500
$3,000 $2,500 $4,000 $2,700 $3,444 $400
$2,000 $1,480 $1,901 $3,000 $400 $300
$2,000 $300
$1,000 $200
$1,000 $200
$0 $0 $100 $100
25th Mean 75th $175 $581 $479 $835 $123 $470 $368 $679
25th Mean 75th $0 $0
Deductible Ind Deductible Fam
Deductible Ind Deductible Fam EE EE+S EE+Ch Family EE EE+S EE+Ch Family
PPO IN-NETWORK PLAN OOP MAX (including deductible) QHDHP IN-NETWORK PLAN OOP MAX (including deductible) Avg. Monthly EMPLOYER Contributions by Tier – (PPO) Avg. Monthly EMPLOYER Contributions by Tier – (QHDHP)
$14,000 $13,200 $14,000 $12,700 $1,400 $1,400
$12,000 $12,000 $10,788 $1,200 $1,200
$10,149 $10,000
$10,000 $10,000
$8,000 $1,000 $1,000
$8,000 $6,600 $8,000 $6,350 $800 $800
$6,000 $5,061 $6,000
$4,000 $4,594 $600 $600
$4,000 $4,000 $3,296 $400 $400
$2,000 $2,000
$200 $200
$0 $0 $503 $920 $856 $1,326 $466 $852 $795 $1,183
$0
$0
25th Mean 75th 25th Mean 75th Medical plan PEPY/PMPY benchmarking –(Healthcare Industry) Family
EE
EE+S
EE+Ch
Family
EE+S
EE+Ch
EE
Medical plan cost share benchmarking –(Healthcare Industry) OOP Max Fam
OOP Max Fam
OOP Max Ind
OOP Max Ind
2
1
PPO PLAN COSTS - PEPY AND PMPY
$14,000
$12,110
$12,000 $11,405
$10,000
PPO 26% 17% 56% $8,000 $6,746 $6,356
$6,000 Unadjusted Mean
Adjusted Mean
$4,000
$2,000
$0
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
PEPY PMPY
Employee Contributions Employee Cost Through Plan Design Employer Cost
QHDHP PLAN COSTS - PEPY AND PMPY
$12,000 $11,250 $11,177
$10,000
QHDHP 23% 22% 55% $8,000
$5,967 $5,935
$6,000 Unadjusted Mean
Adjusted Mean
$4,000
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
$2,000
Employee Contributions Employee Cost Through Plan Design Employer Cost
$0
PEPY PMPY
3
LHC Group — Lockton Total Rewards Practice overview 20 Lockton Companies
4
Medical plan design benchmarking –(Office of other health practitioners)
Medical plan contribution benchmarking –(Healthcare Industry)
PPO IN-NETWORK PLAN DEDUCTIBLE QHDHP IN-NETWORK PLAN DEDUCTIBLE Avg. Monthly EMPLOYEE Contributions by Tier –(PPO) Avg. Monthly EMPLOYEE Contributions by Tier –(QHDHP)
$7,000 $6,000 $9,000 $8,500 $900 $800
$6,000 $8,000 $6,889 $800
$7,000 $700
$5,000 $4,145 $6,000 $5,400 $700 $600
$4,000 $5,000 $4,250 $600 $500
$2,800 $500
$3,000 $2,500 $4,000 $2,700 $3,444 $400
$2,000 $1,480 $1,901 $3,000 $400 $300
$2,000 $300
$1,000 $200
$1,000 $200
$0 $0 $100 $100
25th Mean 75th $175 $581 $479 $835 $123 $470 $368 $679
25th Mean 75th $0 $0
Deductible Ind Deductible Fam
Deductible Ind Deductible Fam EE EE+S EE+Ch Family EE EE+S EE+Ch Family
PPO IN-NETWORK PLAN OOP MAX (including deductible) QHDHP IN-NETWORK PLAN OOP MAX (including deductible) Avg. Monthly EMPLOYER Contributions by Tier – (PPO) Avg. Monthly EMPLOYER Contributions by Tier – (QHDHP)
$14,000 $13,200 $14,000 $12,700 $1,400 $1,400
$12,000 $12,000 $10,788 $1,200 $1,200
$10,149 $10,000
$10,000 $10,000
$8,000 $1,000 $1,000
$8,000 $6,600 $8,000 $6,350 $800 $800
$6,000 $5,061 $6,000
$4,000 $4,594 $600 $600
$4,000 $4,000 $3,296 $400 $400
$2,000 $2,000
$200 $200
$0 $0 $503 $920 $856 $1,326 $466 $852 $795 $1,183
$0
$0
25th Mean 75th 25th Mean 75th Medical plan PEPY/PMPY benchmarking –(Healthcare Industry) Family
EE
EE+S
EE+Ch
Family
EE+S
EE+Ch
EE
Medical plan cost share benchmarking –(Healthcare Industry) OOP Max Fam
OOP Max Fam
OOP Max Ind
OOP Max Ind
2
1
PPO PLAN COSTS - PEPY AND PMPY
$14,000
$12,110
$12,000 $11,405
$10,000
PPO 26% 17% 56% $8,000 $6,746 $6,356
$6,000 Unadjusted Mean
Adjusted Mean
$4,000
$2,000
$0
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
PEPY PMPY
Employee Contributions Employee Cost Through Plan Design Employer Cost
QHDHP PLAN COSTS - PEPY AND PMPY
$12,000 $11,250 $11,177
$10,000
QHDHP 23% 22% 55% $8,000
$5,967 $5,935
$6,000 Unadjusted Mean
Adjusted Mean
$4,000
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
$2,000
Employee Contributions Employee Cost Through Plan Design Employer Cost
$0
PEPY PMPY
3
LHC Group — Lockton Total Rewards Practice overview 20 Lockton Companies
4
