1. Health improvement efforts (wellness/disease management,
free preventive care, etc.)
2. Increased employee financial responsibility (HDHPs, higher
copays, reduced subsidies for retiree/dependent coverage, etc.)
3. Plan design (consumer-directed health plans or utilization
management to detect unnecessary care)
4. Network management (narrower networks, direct
hospital/physician contracting, accountable care organizations, etc.)
5. Defined contribution (provision of predetermined amount of
funding for employee use toward health plan purchased)
6. Reduced benefits/plan value (cuts to covered benefits)
7. Limit/control hours worked (reduce number of full-time
equivalent employees)
Source: Beckers Hospital Review
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