Page 10 - LRCC October 2025 Focus
P. 10

Ask the Expert Series















                                                                                                                                   Addressing Health Care Affordability for

                                                                                                                                   Michigan Small Businesses

                                                                                                                                   By Sandy Fester, Vice President, Michigan Business, Blue Cross Blue Shield of Michigan




                                                                                                                                   WHAT HEALTH CARE AFFORDABILITY                         IS THERE ANYTHING SMALL BUSINESSES CAN
                                                                                                                                   CHALLENGES ARE MICHIGAN SMALL                          DO TO INFLUENCE THESE COSTS?
                                                                                                                                   BUSINESSES FACING TODAY?
                                                                                                                                                                                          Yes. Employers have an important role in shaping
                                                                                                                                   Small businesses are the backbone                      health outcomes. Encouraging preventive care,
                                                                                                                                   of our state’s economy, but many                       supporting wellness programs and helping employees
                                                                                                                                   are struggling with the rising                         manage chronic conditions can reduce costly care.
                                                                                                                                   cost of providing health benefits.                     Healthier employees mean fewer high-cost claims,
          Value-driven plans. Innovative solutions.                                                                                Premiums sit “downstream” of                           which helps ease pressure on premiums. These
                                                                                                                                   the broader health care system —
                                                                                                                                                                                          aren’t quick fixes, but they can make a measurable
            Better business benefits. Ready to help.                                                                               reflecting the prices set by hospitals,                difference over time.
                                                                                                                                   drug companies and technology.
                                                                                                                                   With more employees managing
                                                                                                                                   chronic conditions like diabetes    Fester             You can also work with your insurance carrier and
                                                                                                                                                                                          agent to shop for the right plan option at the right
                                                                                                                                   and heart disease and more care                        price point for you. At Blue Cross, we understand that
                                                                                                                                   delivered in high-cost settings like emergency rooms,   a “one-size-fits-all” approach won’t meet all employers’
                                                                                                                                   employers are seeing premiums climb faster than their   needs — that’s why we offer a range of products that
                                                                                                                                   budgets can keep up. We know this puts real pressure   span the spectrum from lower premium + narrower
                                                                                                                                   on owners who want to support their employees and      network to higher premium + broader network. We
                                                                                                                                   remain competitive.                                    have more than 120 plan offerings through our HMO
                                                                                                                                                                                          and PPO products for small group customers.
                                                                                                                                   WHAT IS BLUE CROSS DOING TO HELP SMALL
                                                                                                                                   BUSINESSES WITH AFFORDABILITY?                         WHAT’S THE BIGGER PICTURE? HOW DO
                                                                                                                                                                                          WE SOLVE THE AFFORDABILITY CRISIS?
                                                                                                                                   At Blue Cross, we believe affordability is a shared
                At Blue Cross, we know you want the best for your employees. That’s why                                            responsibility — and we’re leading change upstream.    No one can solve this challenge alone. It will take
                we’re ready to help with plans designed to fit any budget, and innovative                                          Through our Value Partnerships and Blueprint for       businesses, insurers, providers, drug companies and
                                                                                                                                                                                          policymakers working together to redesign the system
                                                                                                                                   Affordability programs, we’re working with Michigan
                    solutions that improve care for your employees. From diabetes and                                              providers to shift the focus of payment from volume    so it works better for everyone. For small businesses,
              hypertension to maternity and menopause, we offer whole health coverage                                              of services to outcomes for patients. That means       the stakes are especially high. That’s why Blue Cross is
                                                                                                                                   focusing on preventive care, coordinated treatment
                                                                                                                                                                                          committed to being your partner and your champion
                                and solutions that you and your team can trust.                                                    and reducing unnecessary hospital stays.               — standing alongside you to find solutions that keep
                                                                                                                                                                                          coverage accessible and affordable for the people who
                                                                                                                                   We’re also addressing one of the biggest cost drivers:   make Michigan’s economy thrive. u
                          Attracting better talent starts with having better benefits,                                             prescription drugs. By partnering with CivicaRx, we’re
                                               and we’re ready to help.                                                            helping bring more affordable generic medications
                                                                                                                                   to market and pushing for greater regulation in
                                                                                                                                   drug pricing. These steps don’t just lower costs for
                                                                                                                                   members — they help stabilize the system for the
                                     bcbsm.com/employers/improved-care                                                             small businesses who provide coverage.




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    Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.
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