Controlling Health Care Spending with Coinsurance
Moving from copayments to coinsurance for specialist office visits could provide a viable alternative to saving healthcare costs, according to a study by the Employee Benefits Research Institute (EBRI). Coinsurance reduces the use of inpatient care and specialist physician office visits more than copayments do. In contrast, copayments reduce primary care office visits more than coinsurance does. Otherwise, copayments and coinsurance have about an equal effect on the use of the other health care services examined in the study.
Many high-cost claimants reach their deductible by the end of the year. So price may matter most when they’re deciding whether to use a health care service even before the end of the year.
While most employers already use coinsurance for inpatient care, only 44% use it for office visits.
Consult your LISI Regional Sales Representative for the most effective cost-saving strategies.