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2013 Benefit Trends and
cost drivers




Presented by:
Donald Chu, CEBS
Principal | Benefit Consultant
604-808-0328
donald@benefitdeck.com
Trends
         Health care inflation tapered now at
         11.5, dental at 5.5% per annum;
         Causing average overall rate
         increase 7-10%
         Highest areas of usage:
         Drugs, Dental, Healthcare
         practitioners
         Diagnostics Specialist Access
         Insurance more popular: speed up
         specialist appointment and MRI
         Renewing interest in Health care
         spending account– starting with
         small budget
Top 10 employee benefits cost drivers
                               1. Aging demographics
                               2. Stress and mental health
                               3. Cost shifting – public vs private
                               plan
                               4. Higher incidence of chronic
                               disease
                               5. New high cost drugs
Top 5 Drugs (total dollars paid in millions)

   1995                  2000           2010
   LOSEC                 LOSEC          Remicade $ 8.4
   20mg  $1.5            20mg  $ 2.6
   PROZAC                CELEBREX       NEXIUM
   20mg   $1.3           200mg $1.3     40mg   $ 6.2
   IMITREX               PAXIL          CRESTOR
   100mg $1.0            20mg    $1.3   10mg  $ 5.5
   BECLOFORTE            LIPITOR        Enbrel   $ 3.6
   Inhaler 250mcg/Dose   10mg    $1.2
             $0.7


   ISOPTIN SR 240mg      LIPITOR        Humira $ 3.4
           $0.6          20mg    $0.9
Top benefit plan cost drivers


                            6. Open drug plan that covers all

                            7. Low generic fill rate, or no generic
                            substitute

                            8. Lack of employee awareness

                            9. Lack of workplace care

                            10. Medical Advances
Some Good News

                 Fewer teenagers reported smoking in 2012:
                 from 15% in 2003 to 10% in 2012

                 In 2012, more than half of Canadians adults
                 stated they were active, an increase from 2008

                 In 2012, breast cancer among Canadian
                 women was 98.4 cases per 100,000, a
                 decrease from 101.7 cases per 100,000 in
                 2000

                 In 2012, the incidence of lung cancer was 56.0
                 cases per 100,000 population, a decrease from
                 the 58.8 cases per 100,000 in 2000
Wellness reduces your cost
Possible solutions


   • Health awareness and Wellness
   programs
   • Employee education and
   communication
   • Monitoring and reporting
   • Open communication with your
   benefit consultant
   • Plan design
Thank you for attending




                          Donald Chu, CEBS
                          BenefitDeck Consulting Ltd.

                          www.benefitdeck.com

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Benefit Trends and Cost drivers

  • 1. 2013 Benefit Trends and cost drivers Presented by: Donald Chu, CEBS Principal | Benefit Consultant 604-808-0328 donald@benefitdeck.com
  • 2. Trends Health care inflation tapered now at 11.5, dental at 5.5% per annum; Causing average overall rate increase 7-10% Highest areas of usage: Drugs, Dental, Healthcare practitioners Diagnostics Specialist Access Insurance more popular: speed up specialist appointment and MRI Renewing interest in Health care spending account– starting with small budget
  • 3. Top 10 employee benefits cost drivers 1. Aging demographics 2. Stress and mental health 3. Cost shifting – public vs private plan 4. Higher incidence of chronic disease 5. New high cost drugs
  • 4. Top 5 Drugs (total dollars paid in millions) 1995 2000 2010 LOSEC LOSEC Remicade $ 8.4 20mg $1.5 20mg $ 2.6 PROZAC CELEBREX NEXIUM 20mg $1.3 200mg $1.3 40mg $ 6.2 IMITREX PAXIL CRESTOR 100mg $1.0 20mg $1.3 10mg $ 5.5 BECLOFORTE LIPITOR Enbrel $ 3.6 Inhaler 250mcg/Dose 10mg $1.2 $0.7 ISOPTIN SR 240mg LIPITOR Humira $ 3.4 $0.6 20mg $0.9
  • 5. Top benefit plan cost drivers 6. Open drug plan that covers all 7. Low generic fill rate, or no generic substitute 8. Lack of employee awareness 9. Lack of workplace care 10. Medical Advances
  • 6. Some Good News Fewer teenagers reported smoking in 2012: from 15% in 2003 to 10% in 2012 In 2012, more than half of Canadians adults stated they were active, an increase from 2008 In 2012, breast cancer among Canadian women was 98.4 cases per 100,000, a decrease from 101.7 cases per 100,000 in 2000 In 2012, the incidence of lung cancer was 56.0 cases per 100,000 population, a decrease from the 58.8 cases per 100,000 in 2000
  • 8. Possible solutions • Health awareness and Wellness programs • Employee education and communication • Monitoring and reporting • Open communication with your benefit consultant • Plan design
  • 9. Thank you for attending Donald Chu, CEBS BenefitDeck Consulting Ltd. www.benefitdeck.com