Evidence-based benefit design: toward a sustainable health care future for employers.

Journal Article (Journal Article)

Health care costs for employers are rising much faster than inflation. The common approach to health benefit design of increasing cost sharing has failed to contain costs. Some employers, however, have been successful at mitigating the cost trend or actually reducing health care costs. These employers have in common a dedication to data analysis, a search for cost drivers, and a willingness to adjust their approach to health benefit design to address these cost drivers. This approach has much in common with the movement in clinical practice toward evidence-based medicine. We propose that employers adopt a similar approach toward health benefits termed evidence-based benefit design, which is based on a health and productivity framework focused on direct and indirect costs. Evidence-based benefit design incorporates the relevant literature and employer-specific data that are integrated and regularly analyzed.

Full Text

Duke Authors

Cited Authors

  • Bunn, WB; Stave, GM; Allen, H; Naim, AB

Published Date

  • October 2010

Published In

Volume / Issue

  • 52 / 10

Start / End Page

  • 951 - 955

PubMed ID

  • 20881622

Electronic International Standard Serial Number (EISSN)

  • 1536-5948

Digital Object Identifier (DOI)

  • 10.1097/JOM.0b013e3181f72acb


  • eng

Conference Location

  • United States