A Closer Look at Blue Cross Blue Shield of Michigan’s Small Employer Premium Trends

Sandy Fester is vice president of Middle and Small Group Business at Blue Cross Blue Shield of Michigan.

Small business owner sketching out plans in a workshop.
For the operator of a small business, the decision to offer health coverage for employees can be a difficult one. The expense of health benefits can pressure the bottom line, especially if business slows, and it can affect practical decisions, like whether to hire one more person. This is why Blue Cross’ work to moderate premiums for small businesses – keeping coverage affordable and the expense predictable – is an achievement I’m proud to talk about. Michigan is home to more than 870,000 small businesses employing just under 50 percent of the state’s private workforce, around 1.8 million people. Of those businesses, only 33 percent provided employee health benefits in 2017. As the state’s largest health insurer, we know how important it is for these employers to not only be able to offer their employees health care coverage, but to also provide them with affordable options. We’ve remained focused on moderating small employer premiums, with nine rate reductions in the last four years. Since 2015, our small employer PPO members have seen an average increase of less than one percent, while HMO members saw an average premium reduction of approximately one percent. And we know they appreciate the effort – as 93 percent of Blue Cross and Blue Care Network small employer customers renewed their coverage with us. Twice a year, Blue Cross calculates new rates for our small group members. In the first and second quarter of this year, we were able to provide them with a rate reduction across the board for PPO and HMO products – 3.1 percent and 3.8 percent lower premiums, respectively. These adjustments are in stark contrast to national numbers, where insurers have put forward an average annual increase of at least five percent since 2013. So, what’s different in Michigan? How is Blue Cross able to deliver this level of affordability? Our efforts to maintain premiums include more than 10 years of work by Blue Cross, Michigan doctors and hospitals to improve the efficiency of health care, as well as new programs designed to enhance member well-being and convenient access to care such as Virtual Well-Being and telehealth options. Affordability of premiums relies, in large measure, on the impact a private insurer can have on the root cost of health care services. Working collaboratively with Michigan’s best doctors and hospitals to promote better patient outcomes and manage costs is having a tangible impact. We’re happy it’s put us in the position of returning the money we are saving to our customers in the form of lower rates.
Infographic of historical small group rates.
Photo credit: shapecharge

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Blues Perspectives

Mar 1, 2019 at 5:52pm

Hi Scott, we’re sorry to hear that you're unhappy and would like to see what we can do to help. If you could provide your contact information here: http://miblues.co/1Bb6oI4, a member of our team will reach out to you directly to assist you. Thanks, Taylar

Scott Adams

Mar 1, 2019 at 3:16pm

The BCBSM marketing people get a lot use of smoke and mirrors: It's not how many TIMES you lower or raise rates, it's how MUCH. By the bar graph you supplied, BCBSM has raised rates 16.4 % but only lowered them by 10.2 %. That would indicate an overall rate INCREASE of 6.2%, not .1%. What am I missing? I recently went through a very trying ordeal trying to get a Part B Constant Glucose Monitor. I finally got it after six weeks of back and forth stupidity with BCBSM only allowing me to deal with one supplier. My sister completed the exact same task in one week and had a number of suppliers she could deal with....dealing with BCBS of North Carolina. Demonstrating just how badly BCBSM is run compared with other BCBS franchises. Do your homework before you make such stupid blanket statements. I'm really dissatisfied with BCSM.

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