UNSUSTAINABLE AND UNJUSTIFIABLE
All data contained in this paper are derived from 32BJ Health Fund claims data or other cited sources.
The 32BJ Health Fund introduced a new and innovative network design in April 2019. For the first time in its history, it differentiated amongst health systems in the New York City metro area. While most health systems would be preferred and keep the same low copays, others that charged significantly more for care would become non-preferred and have significantly higher copays for planned care. While most participants were already using preferred hospitals, the goal of the new design is to steer even more participants to use preferred hospitals when they need hospital-based care. (Read More)
Like other healthcare purchasers, the 32BJ Health Fund is not immune to the forces causing healthcare costs to rise. What’s different is the way the Health Fund responds. While many payers choose to raise premiums, co-pays, deductibles, and other out of pocket expenses—and shift costs from employers to employees—the Health Fund does everything possible to avoid passing those costs onto members. (Read More)