Pulse of the Purchaser: COVID-19 Special Edition the Delta Variant

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* 1. Which coalition are you a member of?

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* 2. Select your organization's industry:

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* 3. Which best describes the size of your organization?

10,000+ employees

5,000- 9,999 employees

1,000 - 4,999 employees

500 – 999 employees

Fewer than 500 employees

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* 4. Have your return to work plans changed as a result of the emergence of the delta variant of the COVID-19 virus?

Yes

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* 5. When does your organization anticipate resuming a more stabilized business environment?

Q3 2021

Q4 2021

Q1 2022

Q2 2022

Already occurred

Not sure

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* 6. As part of your return to work strategy, are you requiring proof of vaccination for your employees?

Already in place

Considering in the next 90 days

Not considering

Need more information

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* 7. What workplace policies do you have or are you considering regarding the COVID-19 vaccines?

	Currently doing	Considering in the next 90 days	Not considering	Need more information
Educating employees on COVID-19 vaccine access, efficacy and safety	Educating employees on COVID-19 vaccine access, efficacy and safety Currently doing	Educating employees on COVID-19 vaccine access, efficacy and safety Considering in the next 90 days	Educating employees on COVID-19 vaccine access, efficacy and safety Not considering	Educating employees on COVID-19 vaccine access, efficacy and safety Need more information
Provide monetary incentive to get the vaccine for children	Provide monetary incentive to get the vaccine for children Currently doing	Provide monetary incentive to get the vaccine for children Considering in the next 90 days	Provide monetary incentive to get the vaccine for children Not considering	Provide monetary incentive to get the vaccine for children Need more information
Offer time off to get the vaccine	Offer time off to get the vaccine Currently doing	Offer time off to get the vaccine Considering in the next 90 days	Offer time off to get the vaccine Not considering	Offer time off to get the vaccine Need more information
Offer time off to get children vaccinated	Offer time off to get children vaccinated Currently doing	Offer time off to get children vaccinated Considering in the next 90 days	Offer time off to get children vaccinated Not considering	Offer time off to get children vaccinated Need more information
Mandate vaccination for all employees	Mandate vaccination for all employees Currently doing	Mandate vaccination for all employees Considering in the next 90 days	Mandate vaccination for all employees Not considering	Mandate vaccination for all employees Need more information
Mandate vaccination for higher exposure employees	Mandate vaccination for higher exposure employees Currently doing	Mandate vaccination for higher exposure employees Considering in the next 90 days	Mandate vaccination for higher exposure employees Not considering	Mandate vaccination for higher exposure employees Need more information
Offer vaccine through onsite/near site clinics	Offer vaccine through onsite/near site clinics Currently doing	Offer vaccine through onsite/near site clinics Considering in the next 90 days	Offer vaccine through onsite/near site clinics Not considering	Offer vaccine through onsite/near site clinics Need more information
Offer vaccine by a vendor	Offer vaccine by a vendor Currently doing	Offer vaccine by a vendor Considering in the next 90 days	Offer vaccine by a vendor Not considering	Offer vaccine by a vendor Need more information
Require vaccine for business-related travel	Require vaccine for business-related travel Currently doing	Require vaccine for business-related travel Considering in the next 90 days	Require vaccine for business-related travel Not considering	Require vaccine for business-related travel Need more information

Other (please specify)

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* 8. What policy/policies apply for employees that have not been fully vaccinated?

	Currently doing	Considering in the next 90 days	Not considering	Need more information
Termination of employment	Termination of employment Currently doing	Termination of employment Considering in the next 90 days	Termination of employment Not considering	Termination of employment Need more information
Subject to routine COVID-19 testing at employer's expense	Subject to routine COVID-19 testing at employer's expense Currently doing	Subject to routine COVID-19 testing at employer's expense Considering in the next 90 days	Subject to routine COVID-19 testing at employer's expense Not considering	Subject to routine COVID-19 testing at employer's expense Need more information
Subject to routine COVID-19 testing at employee's expense	Subject to routine COVID-19 testing at employee's expense Currently doing	Subject to routine COVID-19 testing at employee's expense Considering in the next 90 days	Subject to routine COVID-19 testing at employee's expense Not considering	Subject to routine COVID-19 testing at employee's expense Need more information
Subject to mandatory masking at the workplace	Subject to mandatory masking at the workplace Currently doing	Subject to mandatory masking at the workplace Considering in the next 90 days	Subject to mandatory masking at the workplace Not considering	Subject to mandatory masking at the workplace Need more information
Require working remote (If possible)	Require working remote (If possible) Currently doing	Require working remote (If possible) Considering in the next 90 days	Require working remote (If possible) Not considering	Require working remote (If possible) Need more information
Status change to consultant (removal of benefits)	Status change to consultant (removal of benefits) Currently doing	Status change to consultant (removal of benefits) Considering in the next 90 days	Status change to consultant (removal of benefits) Not considering	Status change to consultant (removal of benefits) Need more information
Implement employee benefit premium surcharge	Implement employee benefit premium surcharge Currently doing	Implement employee benefit premium surcharge Considering in the next 90 days	Implement employee benefit premium surcharge Not considering	Implement employee benefit premium surcharge Need more information
Restrictions on business travel	Restrictions on business travel Currently doing	Restrictions on business travel Considering in the next 90 days	Restrictions on business travel Not considering	Restrictions on business travel Need more information
Restrictions on meeting attendance	Restrictions on meeting attendance Currently doing	Restrictions on meeting attendance Considering in the next 90 days	Restrictions on meeting attendance Not considering	Restrictions on meeting attendance Need more information
No difference in treatment	No difference in treatment Currently doing	No difference in treatment Considering in the next 90 days	No difference in treatment Not considering	No difference in treatment Need more information

Other (please specify)

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* 9. How are you treating those who have tested positive for COVID-19 antibodies and have not yet been vaccinated?

	Currently doing	Considering in the next 90 days	Not considering	Need more information
Require proof of COVID-19 antibodies	Require proof of COVID-19 antibodies Currently doing	Require proof of COVID-19 antibodies Considering in the next 90 days	Require proof of COVID-19 antibodies Not considering	Require proof of COVID-19 antibodies Need more information
Treated the same as those who have been vaccinated	Treated the same as those who have been vaccinated Currently doing	Treated the same as those who have been vaccinated Considering in the next 90 days	Treated the same as those who have been vaccinated Not considering	Treated the same as those who have been vaccinated Need more information
Treated the same as those who have not been vaccinated	Treated the same as those who have not been vaccinated Currently doing	Treated the same as those who have not been vaccinated Considering in the next 90 days	Treated the same as those who have not been vaccinated Not considering	Treated the same as those who have not been vaccinated Need more information

Other (please specify)

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* 10. Does your return to work strategy vary by any of the following?

	Currently in place	Considering within the next 90 days	Not considering within the next 90 days	Not applicable	Need more information
Site vaccination rates	Site vaccination rates Currently in place	Site vaccination rates Considering within the next 90 days	Site vaccination rates Not considering within the next 90 days	Site vaccination rates Not applicable	Site vaccination rates Need more information
State of employment	State of employment Currently in place	State of employment Considering within the next 90 days	State of employment Not considering within the next 90 days	State of employment Not applicable	State of employment Need more information
Regions within state	Regions within state Currently in place	Regions within state Considering within the next 90 days	Regions within state Not considering within the next 90 days	Regions within state Not applicable	Regions within state Need more information
Ability to work from home	Ability to work from home Currently in place	Ability to work from home Considering within the next 90 days	Ability to work from home Not considering within the next 90 days	Ability to work from home Not applicable	Ability to work from home Need more information
Health-related risk factors	Health-related risk factors Currently in place	Health-related risk factors Considering within the next 90 days	Health-related risk factors Not considering within the next 90 days	Health-related risk factors Not applicable	Health-related risk factors Need more information
Family or childcare issues	Family or childcare issues Currently in place	Family or childcare issues Considering within the next 90 days	Family or childcare issues Not considering within the next 90 days	Family or childcare issues Not applicable	Family or childcare issues Need more information
Employee readiness	Employee readiness Currently in place	Employee readiness Considering within the next 90 days	Employee readiness Not considering within the next 90 days	Employee readiness Not applicable	Employee readiness Need more information
Criticality of job function	Criticality of job function Currently in place	Criticality of job function Considering within the next 90 days	Criticality of job function Not considering within the next 90 days	Criticality of job function Not applicable	Criticality of job function Need more information
Federal guidelines	Federal guidelines Currently in place	Federal guidelines Considering within the next 90 days	Federal guidelines Not considering within the next 90 days	Federal guidelines Not applicable	Federal guidelines Need more information
State guidelines	State guidelines Currently in place	State guidelines Considering within the next 90 days	State guidelines Not considering within the next 90 days	State guidelines Not applicable	State guidelines Need more information
Local city/county guidelines	Local city/county guidelines Currently in place	Local city/county guidelines Considering within the next 90 days	Local city/county guidelines Not considering within the next 90 days	Local city/county guidelines Not applicable	Local city/county guidelines Need more information

Other (please specify)

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* 11. Is your organization impacted by any state or local restrictions limiting mask mandates, vaccine passports, or vaccine mandates?

Yes, but it is not impacting the policies that apply or are being considered for any of our employees

Yes, and it is impacting the policies that apply or are being considered for employees in those states only

Yes, and it is impacting the policies that apply or are being considered for all of our employees

No, no such state or local restrictions apply to our employees

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* 12. Which of the following COVID-19 safety strategies are you implementing for all employees?

	Currently in place	Considering within the next 90 days	Not considering within the next 90 days	Not applicable	Need more information
Continue working remotely where possible	Continue working remotely where possible Currently in place	Continue working remotely where possible Considering within the next 90 days	Continue working remotely where possible Not considering within the next 90 days	Continue working remotely where possible Not applicable	Continue working remotely where possible Need more information
Mandatory use of masks in doors	Mandatory use of masks in doors Currently in place	Mandatory use of masks in doors Considering within the next 90 days	Mandatory use of masks in doors Not considering within the next 90 days	Mandatory use of masks in doors Not applicable	Mandatory use of masks in doors Need more information
Require social distancing at the workplace	Require social distancing at the workplace Currently in place	Require social distancing at the workplace Considering within the next 90 days	Require social distancing at the workplace Not considering within the next 90 days	Require social distancing at the workplace Not applicable	Require social distancing at the workplace Need more information
Use of workspace shields	Use of workspace shields Currently in place	Use of workspace shields Considering within the next 90 days	Use of workspace shields Not considering within the next 90 days	Use of workspace shields Not applicable	Use of workspace shields Need more information
Require COVID-19 testing	Require COVID-19 testing Currently in place	Require COVID-19 testing Considering within the next 90 days	Require COVID-19 testing Not considering within the next 90 days	Require COVID-19 testing Not applicable	Require COVID-19 testing Need more information
Restrictions on meeting size	Restrictions on meeting size Currently in place	Restrictions on meeting size Considering within the next 90 days	Restrictions on meeting size Not considering within the next 90 days	Restrictions on meeting size Not applicable	Restrictions on meeting size Need more information
Restrictions on business travel	Restrictions on business travel Currently in place	Restrictions on business travel Considering within the next 90 days	Restrictions on business travel Not considering within the next 90 days	Restrictions on business travel Not applicable	Restrictions on business travel Need more information

Other (please specify)

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* 13. How will your return to work plans change as a result of the FDA approval of the COVID-19 vaccines?

	More likely to mandate COVID-19 vaccination for employees	Accelerate return to work plans	No impact on return to work plans
Yes	Yes More likely to mandate COVID-19 vaccination for employees	Yes Accelerate return to work plans	Yes No impact on return to work plans
No	No More likely to mandate COVID-19 vaccination for employees	No Accelerate return to work plans	No No impact on return to work plans
N/A	N/A More likely to mandate COVID-19 vaccination for employees	N/A Accelerate return to work plans	N/A No impact on return to work plans

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* 14. Which of the following threatens the affordability of employer-provided health coverage for employees and their families?

	Significant Threat	Minor Threat	No threat positive impact
Drug prices	Drug prices Significant Threat	Drug prices Minor Threat	Drug prices No threat positive impact
Hospital prices	Hospital prices Significant Threat	Hospital prices Minor Threat	Hospital prices No threat positive impact
Health system consolidation	Health system consolidation Significant Threat	Health system consolidation Minor Threat	Health system consolidation No threat positive impact
Intermediary conflicts of interest	Intermediary conflicts of interest Significant Threat	Intermediary conflicts of interest Minor Threat	Intermediary conflicts of interest No threat positive impact
Lack of transparency	Lack of transparency Significant Threat	Lack of transparency Minor Threat	Lack of transparency No threat positive impact
Surprise medical bills	Surprise medical bills Significant Threat	Surprise medical bills Minor Threat	Surprise medical bills No threat positive impact

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* 15. Which of the following are being integrated into your healthcare strategies?

	Currently doing	Considering next 1- 2 years	Not considering	Need more information
Advanced Primary Care Model	Advanced Primary Care Model Currently doing	Advanced Primary Care Model Considering next 1- 2 years	Advanced Primary Care Model Not considering	Advanced Primary Care Model Need more information
Centers of excellence/episodes of care	Centers of excellence/episodes of care Currently doing	Centers of excellence/episodes of care Considering next 1- 2 years	Centers of excellence/episodes of care Not considering	Centers of excellence/episodes of care Need more information
Health equity	Health equity Currently doing	Health equity Considering next 1- 2 years	Health equity Not considering	Health equity Need more information
High cost claimants	High cost claimants Currently doing	High cost claimants Considering next 1- 2 years	High cost claimants Not considering	High cost claimants Need more information
Hospital price transparency	Hospital price transparency Currently doing	Hospital price transparency Considering next 1- 2 years	Hospital price transparency Not considering	Hospital price transparency Need more information
Hospital quality transparency	Hospital quality transparency Currently doing	Hospital quality transparency Considering next 1- 2 years	Hospital quality transparency Not considering	Hospital quality transparency Need more information
Mental health & substance use access & quality	Mental health & substance use access & quality Currently doing	Mental health & substance use access & quality Considering next 1- 2 years	Mental health & substance use access & quality Not considering	Mental health & substance use access & quality Need more information
Total Person Health (whole person health)	Total Person Health (whole person health) Currently doing	Total Person Health (whole person health) Considering next 1- 2 years	Total Person Health (whole person health) Not considering	Total Person Health (whole person health) Need more information
Value-based benefit design	Value-based benefit design Currently doing	Value-based benefit design Considering next 1- 2 years	Value-based benefit design Not considering	Value-based benefit design Need more information

Other (please specify)

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* 16. How are you managing high cost claimants in your benefit plans?

	Currently doing	Considering next 1-2 years	Not considering	Need more information
Managing through carrier/TPA	Managing through carrier/TPA Currently doing	Managing through carrier/TPA Considering next 1-2 years	Managing through carrier/TPA Not considering	Managing through carrier/TPA Need more information
Managing through my PBM	Managing through my PBM Currently doing	Managing through my PBM Considering next 1-2 years	Managing through my PBM Not considering	Managing through my PBM Need more information
Managing through the reinsurer	Managing through the reinsurer Currently doing	Managing through the reinsurer Considering next 1-2 years	Managing through the reinsurer Not considering	Managing through the reinsurer Need more information
Carving out and managing through captive reinsurer	Carving out and managing through captive reinsurer Currently doing	Carving out and managing through captive reinsurer Considering next 1-2 years	Carving out and managing through captive reinsurer Not considering	Carving out and managing through captive reinsurer Need more information
Carving out certain conditions and managing through specialty vendors	Carving out certain conditions and managing through specialty vendors Currently doing	Carving out certain conditions and managing through specialty vendors Considering next 1-2 years	Carving out certain conditions and managing through specialty vendors Not considering	Carving out certain conditions and managing through specialty vendors Need more information
Managing internally	Managing internally Currently doing	Managing internally Considering next 1-2 years	Managing internally Not considering	Managing internally Need more information
Independent retrospective audits	Independent retrospective audits Currently doing	Independent retrospective audits Considering next 1-2 years	Independent retrospective audits Not considering	Independent retrospective audits Need more information

Other (please explain)

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* 17. As it relates to your company’s health and wellbeing strategies, what is your impression of the following potential health reforms?

	Very helpful	Somewhat helpful	Neutral	Somewhat hurtful	Very Hurtful	Need more information
Hospital price transparency	Hospital price transparency Very helpful	Hospital price transparency Somewhat helpful	Hospital price transparency Neutral	Hospital price transparency Somewhat hurtful	Hospital price transparency Very Hurtful	Hospital price transparency Need more information
Hospital rate regulation	Hospital rate regulation Very helpful	Hospital rate regulation Somewhat helpful	Hospital rate regulation Neutral	Hospital rate regulation Somewhat hurtful	Hospital rate regulation Very Hurtful	Hospital rate regulation Need more information
Medicare public option	Medicare public option Very helpful	Medicare public option Somewhat helpful	Medicare public option Neutral	Medicare public option Somewhat hurtful	Medicare public option Very Hurtful	Medicare public option Need more information
Surprise billing regulation	Surprise billing regulation Very helpful	Surprise billing regulation Somewhat helpful	Surprise billing regulation Neutral	Surprise billing regulation Somewhat hurtful	Surprise billing regulation Very Hurtful	Surprise billing regulation Need more information
Drug price regulation	Drug price regulation Very helpful	Drug price regulation Somewhat helpful	Drug price regulation Neutral	Drug price regulation Somewhat hurtful	Drug price regulation Very Hurtful	Drug price regulation Need more information

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* 18. With respect to a public option, how do you view the following potential features?

	Very helpful	Somewhat helpful	Neutral	Somewhat harmful	Very harmful	Need more information
Available for ACA marketplaces only	Available for ACA marketplaces only Very helpful	Available for ACA marketplaces only Somewhat helpful	Available for ACA marketplaces only Neutral	Available for ACA marketplaces only Somewhat harmful	Available for ACA marketplaces only Very harmful	Available for ACA marketplaces only Need more information
Available to employees at employers' discretion for any plan sponsor	Available to employees at employers' discretion for any plan sponsor Very helpful	Available to employees at employers' discretion for any plan sponsor Somewhat helpful	Available to employees at employers' discretion for any plan sponsor Neutral	Available to employees at employers' discretion for any plan sponsor Somewhat harmful	Available to employees at employers' discretion for any plan sponsor Very harmful	Available to employees at employers' discretion for any plan sponsor Need more information
Available to all employees regardless of plan sponsor	Available to all employees regardless of plan sponsor Very helpful	Available to all employees regardless of plan sponsor Somewhat helpful	Available to all employees regardless of plan sponsor Neutral	Available to all employees regardless of plan sponsor Somewhat harmful	Available to all employees regardless of plan sponsor Very harmful	Available to all employees regardless of plan sponsor Need more information
Public option pricing available to all plan sponsors	Public option pricing available to all plan sponsors Very helpful	Public option pricing available to all plan sponsors Somewhat helpful	Public option pricing available to all plan sponsors Neutral	Public option pricing available to all plan sponsors Somewhat harmful	Public option pricing available to all plan sponsors Very harmful	Public option pricing available to all plan sponsors Need more information

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* 19. How can your coalition or the National Alliance best support your
efforts going forward?

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* 20. While all responses will be kept confidential, if you are interested in
receiving the aggregate results of the survey directly, please provide your
email below.

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* 1. Which coalition are you a member of?

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* 2. Select your organization's industry:

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* 3. Which best describes the size of your organization?

Question Title

* 4. Have your return to work plans changed as a result of the emergence of the delta variant of the COVID-19 virus?

Question Title

* 5. When does your organization anticipate resuming a more stabilized business environment?

Question Title

* 6. As part of your return to work strategy, are you requiring proof of vaccination for your employees?

Question Title

* 7. What workplace policies do you have or are you considering regarding the COVID-19 vaccines?

Question Title

* 8. What policy/policies apply for employees that have not been fully vaccinated?

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* 9. How are you treating those who have tested positive for COVID-19 antibodies and have not yet been vaccinated?

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* 10. Does your return to work strategy vary by any of the following?

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* 11. Is your organization impacted by any state or local restrictions limiting mask mandates, vaccine passports, or vaccine mandates?

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* 12. Which of the following COVID-19 safety strategies are you implementing for all employees?

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* 13. How will your return to work plans change as a result of the FDA approval of the COVID-19 vaccines?

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* 14. Which of the following threatens the affordability of employer-provided health coverage for employees and their families?

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* 15. Which of the following are being integrated into your healthcare strategies?

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* 16. How are you managing high cost claimants in your benefit plans?

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* 17. As it relates to your company’s health and wellbeing strategies, what is your impression of the following potential health reforms?

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* 18. With respect to a public option, how do you view the following potential features?

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* 19. How can your coalition or the National Alliance best support yourefforts going forward?

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* 20. While all responses will be kept confidential, if you are interested inreceiving the aggregate results of the survey directly, please provide youremail below.

* 19. How can your coalition or the National Alliance best support your
efforts going forward?

* 20. While all responses will be kept confidential, if you are interested in
receiving the aggregate results of the survey directly, please provide your
email below.