With rising healthcare costs, small employers are looking for alternative ways to mitigate their spending while providing their employees with a valued health benefit. Consumer-Driven Health Plans (CDHPs) have become an increasingly popular way for employers to accomplish both of these tasks. CDHPs have been on the rise, with over $23.8 billion spread across 11.8 million accounts, according to the 2013 EBRI/Greenwald & Associates Consumer Engagement in Health Care Survey (CEHCS).
While CDHPs are a popular cost-mitigating strategy for employers, they are growing in popularity among employees as well. According to a recent report from the Employee Benefit Research Institute, the satisfaction rate of CDHP enrollees is gradually increasing, while the satisfaction rate of traditional healthcare enrollees has dropped.
There Is Increasing Satisfaction Among CDHP Enrollees
CDHPs come in a variety of forms, including Health Savings Accounts (HSAs) or Integrated Health Reimbursement Arrangements, (HRAs). Since CDHPs typically incorporate a high-deductible plan paired with a spending account for the out-of-pocket costs, this type of strategy requires employees to make more informed decisions about their healthcare.
Although this type of arrangement may seem like more work for the employees, a previous study by the Employee Benefit Research Institute found that participants of CDHPs are healthier, better educated and tend to have higher incomes on average.
The most recent study by the Employee Benefit Research Institute has found that overall satisfaction rates for CDHP enrollees increased from 37 percent to 52 percent between 2006 and 2009. After satisfaction rates dropped in 2009 and 2010, the rate went from 43 percent to 48 percent between 2010 and 2013.
Other trends among CDHP Enrollees included:
About two thirds (67 percent) were very or extremely satisfied with the quality of care received.
Only 31 percent of CDHP enrollees were extremely or very satisfied with out-of-pocket costs, but the satisfaction rate is trending upward from previous years.
Two thirds of enrollees were satisfied with the access to doctors, and were extremely or very satisfied with their ability to get doctors appointment with their plan.
Almost half (45 percent) of enrollees would be extremely or very likely to recommend their health plan to a friend.
Over half (52 percent) of enrollees would be extremely or very likely to stay with their current health plan, even if they had the opportunity to stay. This number is up four percent from enrollees in 2012.
Satisfaction Rates for Traditional Plan Enrollees Are Decreasing
Very few traditional plan enrollees were unsatisfied with their health plan; however, the percentage of these enrollees who are extremely or very satisfied has been dropping over the past few years. Fifty eight percent of traditional plan enrollees were very or extremely satisfied with their plans in 2013, down four points from 2012. Other trends among traditional plan enrollees included:
The satisfaction rate for quality of health care received fell from 72 percent to 68 percent of enrollees who were extremely or very satisfied
The satisfaction rate dropped five percentage points for enrollees who were extremely or very satisfied with choice of doctors to 71 percent
The satisfaction rate dropped from 52 percent to 49 percent for enrollees who would likely recommend their health plan to a friend
The satisfaction rate dropped from 63 percent to 58 percent for enrollees who would likely stay with their current health plan, if given the opportunity to change
Read the full report here