Welcome to finHealth's 2016 Healthcare Benchmarking Survey! These 20 questions will profile your performance vs. peers in health plan design, cost control & healthy outcomes. Survey results are strictly confidential. Thank you for participating!

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* 1. Which best describes your industry?

Consulting

Consumer Discretionary

Energy

Financial Services/Banking

Healthcare

High Technology

Higher Education

Hospitality

Industrial

Manufacturing

Natural Resources

Public Sector

Retail/Distribution

Telecom

Transportation

Utilities

Other (please specify)

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* 2. What is your role in the organization?

Human Resource Leadership

Finance Leadership

Executive Leadership

Internal Audit Leadership

Strategic Procurement

Other (please specify)

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* 3. Which best describes your healthcare insurance coverage?

We are self-funded.

We are a fully insured plan.

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* 4. How many health plans in total do you offer to your employees?

1 health plan

2-4 health plans

5-7 health plans

Over 7 health plans

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* 5. Who is your healthcare third party administrator (use multiple checks if more than one)?

Aetna

Anthem/Wellpoint

Aon Hewitt

Blue Cross Blue Shield

CIGNA

Coventry

United Healthcare

Other (please specify)

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* 6. Which health insurance carrier(s) do you use (check all that apply)?

Aetna

Anthem/Wellpoint

Aon Hewitt

Blue Cross Blue Shield

CIGNA

Coventry

United Healthcare

Other (please specify)

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* 7. What is the total number of subscribers (employees PLUS retirees) for medical benefits?

Less than 5,000

5,000 to 10,000

10,000 to 25,000

25,000 to 75,000

Over 75,000

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* 8. Which of the following "plan design" strategies are you utilizing to promote healthy outcomes and control your healthcare spending (check all that apply)?

Offer account-based health plans as the only plan option.

Offer access to a private exchange.

Assign spousal surcharges/exclusions when spousal coverage is available elsewhere.

Reduce subsidies for employees' family members.

Promote usage of telemedicine/virtual physician visits/retail clinics through incentives.

Utilize employee outcome-based incentives (specific results or biometric targets).

Adopt eligibility and/or utilization restrictions for specialty pharmacy spend.

Aggressively seek health plan partners that adopt new, value & outcome-based payment methods.

Contract with "centers of excellence" (specialist/leader in care for a given medical condition)

Please suggest additional plan design strategies you utilize or ones that we omitted from our survey:

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* 9. Which of the following "employee ownership/consumerism" strategies are you deploying to control healthcare costs (check all that apply)?

Offer consumer-driven health plans (i.e. high deductible health plan with health savings account).

Require high levels of employee cost sharing (i.e. copayments, deductibles, coinsurance).

Offer defined contribution plan (employer contributes a fixed amount toward a health plan of their choice).

Promote emergency room alternatives (i.e., urgent care) & retail clinics with incentives.

Employ reference-based pricing (employers set a cap on the maximum amount covered for selected medical services with wide cost variations, such as knee and hip replacement surgery).

Drive employees to tiered provider networks (providers are grouped into tiers based on cost/efficiency of care and patients are steered toward these providers through lower premiums/savings incentives).

Please suggest additional cost management strategies you utilize or ones that we omitted from our survey:

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* 10. Which of the following "wellness" strategies are you using to promote stronger employee engagement regarding their personal health (check all that apply)?

Wellness newsletter

Web-based healthy living resources

Class in nutrition

Health assessments

Biometric screening

Smoking cessation program

Behavioral/lifestyle coaching

Gym memberships/on-site fitness facilities

Weight loss programs

Flu shots or vaccinations

Nurse hotline

Disease management (healthcare interventions & communications to promote patient self-care)

Please suggest additional employee engagement strategies you utilize or ones that we omitted from our survey:

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* 11. What is your medical loss ratio (% of premiums spent on medical care versus administration, marketing & profit)?

Less than 70%

70.0 - 74.9%

75.0 - 79.9%

80.0 - 84.9%

Over 85%

I don't know

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* 12. What is the level of fees paid to your third party administrator for healthcare claim processing?

< 5%

5.0 - 7.9%

8.0 - 10.9%

11.0 - 13.9%

Over 14.0%

I don't know

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* 13. Do you have an audit clause in your contract for healthcare insurance coverage?

Yes

I don't know

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* 14. How long has it been since your organization has had an external audit of your healthcare expenditures?

Less than a year ago

1-2 years ago

3-5 years ago

Over 5 years ago

I don't know

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* 15. If you have had an external audit, which of the following areas were covered?

Eligibility (Spouses and/or Dependents)

Missing Coverage/Retroactive Terminations

Duplicate Claim Payments

Medical Coding Edits (NCCI/MUE)

Billed Charges Versus Contract Terms

Hospital Bill Audit

Coordination of Benefits

Third Party Liability and Subrogation

Other (please specify)

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* 16. How much money was recovered by your organization on the external audit of healthcare expenditures?

Less than $100,000

$100,001 - $500,000

$500,001 - $1,000,000

Over $1,000,000

I don’t know

Please note any comments or changes to governance that resulted from that audit:

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* 17. Do you negotiate directly with the health systems in those regions where you have a major geographic presence?

Yes

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* 18. Do you create "centers of excellence" by contracting with health systems who are recognized leaders in their medical specialty in exchange for a bundled payment agreement?

Yes

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* 19. Are you a member of a healthcare coalition/bundled payment organization (use multiple checks if more than one)?

National Business Group on Health

Pacific Business Group on Health

Health Transformation Alliance

The Advisory Board

Other (please specify)

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* 20. Which best describes your use of "data analytics" with regard to your healthcare claims data?

We have strong internal data analytics capabilities for our healthcare claims data, and use that information in "real-time" to manage/control our healthcare expenditures.

We have strong internal data analytics capabilities for our healthcare claims data, and use that information annually to manage/control our healthcare expenditures.

We rely solely on data analytics provided by our third party administrator, and the support is strong.

We rely solely on data analytics provided by our third party administrator, and the support is weak.

We do not possess analytics capabilities over our healthcare claim data internally or from our third party administrator.

Please offer specific guidance as to your healthcare cost analytics capabilities:

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* 21. Optional: Please provide us with your email address if you would like the survey results to be emailed to you once we reach at least 25 participants. Thank you for participating!