group benefits october 11, 2011 marilee mark, vice president marketing higher cost drugs for chronic...
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GROUP BENEFITS
October 11, 2011Marilee Mark, Vice President Marketing
Higher Cost Drugs for Chronic Conditions
plan member perspective – 2012 sanofi healthcare survey
Plan Members – Ready for Change?
3
Perceptions
Plan Member
Priorities & Understanding
of Benefit Plans
Providing coverage for higher cost pre-scription drugs to
treat seri-ous condi-tions such as cancer,
diabetes or multiple sclerosis
63% 19% 10% 3%5%
Very High Priority Somewhat High Priority Neutral Somewhat Low Priority Very Low Priority
4BASE: Plan members n=1,757
Close to two-thirds view coverage for higher cost drugs as a Very High Priority
A Priority82%
5
Meets Needs
Understanding
0.11
0.13
0.46
0.45
0.36
0.390000000000001
Extremely Well Very Well Somewhat Well
BASE: Plan members n=1,757
High level of understanding and the view that their plan meets their needs
93%
97%
6
What responsibilities do plan members feel they
have as consumers?
Difference of opinion – member vs sponsor
7
2008 2009 2012
34%
17% 14%
42%
40%43%
76%
57% 57%
Total Somewhat Agree
BASE: Plan members 2008 n=1,500; 2009 n=2,090; 2012 n=1,757
Majority feel an obligation to help employer control plan costs
n=992
Shop around for lower costs
Pay extra for additional drug coverage
Pay higher premiums
Pay more out-of-pocket for prescription drugs
Decrease other health bene-fits such as . . .
Other
No-Not willing
62%
21%
15%
10%
5%
2%
17%
What They Would Be Willing to Do
5%
28%
53%
14% Yes, Definitely
Yes, Kind of
No, Not Really
No, Not at All
Total No 67%
8
However, just one-third of plan sponsors believe their employees share this sense of obligation
TOTAL YES 33%
BASE: Plan sponsors n=125
9
Are members ready to participate in case
management or other programs?
What if payment is contingent on participation?
member ‘readiness’
6%40%
52%
Not at all likely Not very likely
Somewhat likely Very likely
Total Likely 92%
10
See their physician regularly
Not interested / Don’t want to
Not comfortable / Lack of privacy
Don’t want employer to know / Don’t trust
Healthy / No health risks
Don’t have time
Other
Nothing/Don't know
21%
17%
15%
7%
5%
5%
12%
18%
Most would participate in on-site health risk screening
Total Not Likely8% (n=128)
BASE: Plan members with health screening or would be interested n=1,521
Why Not?
11
Strongly will-ing
Somewhat willing
Somewhat unwilling
Strongly unwilling
58%
33%
6%
3%
BASE: Plan members n=1,757
Most willing to participate in disease education in order to ensure coverage of higher cost drugs
91% are WILLING