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Executive Brief

Plan economics

What plan transparency actually makes possible

Transparency is useful only when it equips leaders to ask better questions about prices, utilization, contracts and incentives.

By Corry Hull, REBC®, CSFS® — Vice President of Employee Benefits Consulting at BHC Insurance

A plan can report a premium increase without explaining the specific patterns that created it. Transparency creates the ability to separate broad assumptions from observable drivers.

Employers should seek practical access to information about where care is delivered, what it costs, how pharmacy arrangements perform and whether vendor incentives align with plan objectives.

The purpose is not to turn every leader into an actuary. It is to make sure the people responsible for the plan can see enough to make informed purchasing and care decisions.

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