Page 12 - ThedaCare
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Strategic processes and tools
02 — IDEAL Proile is a series of questions posed to your leadership that 04 — Hospital and healthcare industry benchmarking includes both
identiies your collective belief system around how beneits should be internal and external data sources speciic to the hospital and
offered to employees. The results drive what beneits you offer, and the healthcare industry.
overall strategy.
Medical Plan Benchmarking – Hospital Industry
Determining sample company’s IDEAL Profile Medical Plan Hospital Industry Benchmarking
Book of Business Details:
Industry: Hospitals, Hospitals
Plan(s): PPO, HDHP
Enrollment Size: All
What is your view What is your Is controlling What is the Are your benefit $1,000 Bubble size denotes enrollment volume
on promoting a philosophy costs the most employer’s role in offerings a
healthy employee toward important your employee’s differentiator or $900
population? financial security? not a differentiator
In addition to “benefits factor in What is your opinion from competitors? $800
traditional benefit equity” across delivering your on an employee’s Regarding the
packages, could employees? benefits choice of benefits? diverse needs of $700
employees benefit When strategy? your workforce,
from What is the Should an employer should employers $600
nontraditional considering offer a plan that offer an array of
benefits (i.e., changes to your employer’s offers a broad range benefit plans that $500
voluntary company’s responsibility to of providers, a small meet employee HIGHER EMPLOYEE CONTRIBUTION ----->
benefits)? benefits, do you dependents? group of high- needs, pay for core $400 ThedaCare 2020 Plan (PT)
What is the consider performing benefits and ThedaCare 2020 Plan (FT)
primary purpose employee’s providers, incents provide options $300 PPO
of offering health members to use for other needs, or HDHP
plans? disruption? high-performing stick to simple $200
providers (and limit
costs)? offerings? $100
Employees should be Benefits are a way to $0
ER should Influence Sensitive to Disrupting Economical Accountable for their create loyalty to 0.5 0.55 0.6 0.65 0.7 0.75 0.8 0.85 0.9 0.95 1
employee’s well-being employees
decisions company RICHER PLAN BENEFITS ----->
I D E A L 1 ThedaCare (2020 Plan) Hospital Benchmark
31 Sources: Lockton Benchmarking & ThedaCare’s 2020 Benefit Guide LOCKTON COMPANIES | 1
Benchmarking – PPO Medical Plan – Hospital Industry
Sample company’s IDEAL Profile Sample ThedaCare Industry Industry Industry
Hospital
Hospital
Hospital
Mean
25th
PPO National - PPO National - PPO National - PPO
75th
P Paarraammeetteerrss In Network Tier 1/Tier2 Includes SIC: 8062, 8063, Includes SIC: 8062, 8063, Includes SIC: 8062, 8063,
8069
8069
8069
Your IDEAL scale aligns with the company profile of High D, High L. Median In-Network Deductible
• Employee $1,200/$2,400 $452 $1,126 $1,500
$3,500
$2,400/$4,800
$2,460
$905
• Family
Strategies that disrupt employees need to carefully weigh the reasons for a change with the impact on Median In-Network Copay $30 / 70%* $18 $23 $30
• Primary
your workforce. It is important that your benefits package is valued by your employees and enhances their • Specialist $50 / 70%* $25 $37 $50
$200
engagement at work. • ER $100 / $150 $154 $253 $370
$16
• Urgent Care
$50
$37
Median In-Network Coinsurance
• Inpatient 80%* / 70%* 90%* 85%* 80%*
80%* / 70%*
85%*
80%*
90%*
• Outpatient
Median In-Network OOP Max
(Includes Deductible)
$5,500
• Employee $4,200 / $7,000 $3,250 $4,401 $11,955
$6,600
$9,762
$8,400 / $14,000
• Family
Median Pharmacy Copays (Retail)
• Generic 100% preventative; $5 all $8 $11 $15
other generic
• Formulary 100% preventative; 80%,$20 $30 $40 $45
min / $100 max all other
formulary brand
• Non-Formulary N/A $50 $70 $80
Average EE $ Contribution Per Pay Period Monthly
• Employee (FT/PT) $199.71/$215.68 N//A $158 N/A N/A
$65.71/$81.35
• Family (FT/PT)
$584
N/A
Average EE % Contribution
• Employee N/A N/A 22% N/A N/A
• Family
N/A
N/A
27%
Actuarial Values
The belief system about how benefits should be offered can vary across your leadership. • Benefit Ratio 82% 91% 86% 83%
32 Sources: Lockton Benchmarking & ThedaCare’s 2020 Benefit Guide
ThedaCare — Lockton Total Rewards Practice overview 12 Lockton Companies
02 — IDEAL Proile is a series of questions posed to your leadership that 04 — Hospital and healthcare industry benchmarking includes both
identiies your collective belief system around how beneits should be internal and external data sources speciic to the hospital and
offered to employees. The results drive what beneits you offer, and the healthcare industry.
overall strategy.
Medical Plan Benchmarking – Hospital Industry
Determining sample company’s IDEAL Profile Medical Plan Hospital Industry Benchmarking
Book of Business Details:
Industry: Hospitals, Hospitals
Plan(s): PPO, HDHP
Enrollment Size: All
What is your view What is your Is controlling What is the Are your benefit $1,000 Bubble size denotes enrollment volume
on promoting a philosophy costs the most employer’s role in offerings a
healthy employee toward important your employee’s differentiator or $900
population? financial security? not a differentiator
In addition to “benefits factor in What is your opinion from competitors? $800
traditional benefit equity” across delivering your on an employee’s Regarding the
packages, could employees? benefits choice of benefits? diverse needs of $700
employees benefit When strategy? your workforce,
from What is the Should an employer should employers $600
nontraditional considering offer a plan that offer an array of
benefits (i.e., changes to your employer’s offers a broad range benefit plans that $500
voluntary company’s responsibility to of providers, a small meet employee HIGHER EMPLOYEE CONTRIBUTION ----->
benefits)? benefits, do you dependents? group of high- needs, pay for core $400 ThedaCare 2020 Plan (PT)
What is the consider performing benefits and ThedaCare 2020 Plan (FT)
primary purpose employee’s providers, incents provide options $300 PPO
of offering health members to use for other needs, or HDHP
plans? disruption? high-performing stick to simple $200
providers (and limit
costs)? offerings? $100
Employees should be Benefits are a way to $0
ER should Influence Sensitive to Disrupting Economical Accountable for their create loyalty to 0.5 0.55 0.6 0.65 0.7 0.75 0.8 0.85 0.9 0.95 1
employee’s well-being employees
decisions company RICHER PLAN BENEFITS ----->
I D E A L 1 ThedaCare (2020 Plan) Hospital Benchmark
31 Sources: Lockton Benchmarking & ThedaCare’s 2020 Benefit Guide LOCKTON COMPANIES | 1
Benchmarking – PPO Medical Plan – Hospital Industry
Sample company’s IDEAL Profile Sample ThedaCare Industry Industry Industry
Hospital
Hospital
Hospital
Mean
25th
PPO National - PPO National - PPO National - PPO
75th
P Paarraammeetteerrss In Network Tier 1/Tier2 Includes SIC: 8062, 8063, Includes SIC: 8062, 8063, Includes SIC: 8062, 8063,
8069
8069
8069
Your IDEAL scale aligns with the company profile of High D, High L. Median In-Network Deductible
• Employee $1,200/$2,400 $452 $1,126 $1,500
$3,500
$2,400/$4,800
$2,460
$905
• Family
Strategies that disrupt employees need to carefully weigh the reasons for a change with the impact on Median In-Network Copay $30 / 70%* $18 $23 $30
• Primary
your workforce. It is important that your benefits package is valued by your employees and enhances their • Specialist $50 / 70%* $25 $37 $50
$200
engagement at work. • ER $100 / $150 $154 $253 $370
$16
• Urgent Care
$50
$37
Median In-Network Coinsurance
• Inpatient 80%* / 70%* 90%* 85%* 80%*
80%* / 70%*
85%*
80%*
90%*
• Outpatient
Median In-Network OOP Max
(Includes Deductible)
$5,500
• Employee $4,200 / $7,000 $3,250 $4,401 $11,955
$6,600
$9,762
$8,400 / $14,000
• Family
Median Pharmacy Copays (Retail)
• Generic 100% preventative; $5 all $8 $11 $15
other generic
• Formulary 100% preventative; 80%,$20 $30 $40 $45
min / $100 max all other
formulary brand
• Non-Formulary N/A $50 $70 $80
Average EE $ Contribution Per Pay Period Monthly
• Employee (FT/PT) $199.71/$215.68 N//A $158 N/A N/A
$65.71/$81.35
• Family (FT/PT)
$584
N/A
Average EE % Contribution
• Employee N/A N/A 22% N/A N/A
• Family
N/A
N/A
27%
Actuarial Values
The belief system about how benefits should be offered can vary across your leadership. • Benefit Ratio 82% 91% 86% 83%
32 Sources: Lockton Benchmarking & ThedaCare’s 2020 Benefit Guide
ThedaCare — Lockton Total Rewards Practice overview 12 Lockton Companies
