|Type of Plan||Buck’s National Health Care Trend|
|25 th Survey||24 th Survey|
|Preferred Provider Organization (PPO)||9.7||%||9.9||%|
|Health Maintenance Organization (HMO)||9.3||9.9|
|High Deductible Health Plan (HDHP)||9.6||9.9|
Health insurers reported an average prescription drug trend of 10.1 percent, an increase of .5 percent from the prior survey. It is also more than twice the 4.1 percent reported by pharmacy benefit managers (PBMs) – third-party administrators of prescription drug programs, who generally do not take any underwriting risk. The continued shift to generic drug use is a significant factor in the reduced drug trends shown by PBMs.For plans that supplement Medicare, health insurers reported a trend of 5.4 percent excluding prescription drug coverage, down from 5.8 percent in the prior survey. This lower trend of Medicare Supplement plans reflects the impact of federal controls on Medicare fees and the lower increases expected in Medicare deductibles and copays. “Another health care trend we’ll be watching is the impact of private health insurance exchanges,” said Levin. “It remains to be seen how the development of private exchanges will affect the use of public exchange models, but it could likely impact the projected cost trends we measure in this survey.” The survey also reported trend factors for dental and vision plans. Health insurers use trend factors to calculate premium rates, and large self-funded employers use these trend factors to budget their future health care costs. In general, trend factors provide for price increases that may result from such variables as inflation, utilization of services, technology, changes in the mix of services, and mandated benefits. About the Survey Buck’s 25th “National Health Care Trend Survey” is available at no cost to the media by contacting Ed Gadowski at 910-253-9816. It is available to other interested parties for $100 by calling 1-800-887-0509 or visiting http:/www.bucksurveys.com. About Buck Consultants Buck Consultants, A Xerox Company, is a leader in human resource and benefits consulting with more than 1,500 professionals worldwide. Founded in 1916 to advise clients in establishing and funding some of the nation’s first public and private retirement programs, Buck is an innovator in the areas of retirement benefits, health and welfare programs, talent and human resources solutions, compensation, and employee communication. News and other information about Buck Consultants are available at http://www.buckconsultants.com. About Xerox With sales approaching $23 billion, Xerox (NYSE: XRX) is the world’s leading enterprise for business process and document management. Its technology, expertise and services enable workplaces – from small businesses to large global enterprises – to simplify the way work gets done so they operate more effectively and focus more on what matters most: their real business. Headquartered in Norwalk, Conn., Xerox offers business process outsourcing and IT outsourcing services, including data processing, healthcare solutions, HR benefits management, finance support, transportation solutions, and customer relationship management services for commercial and government organizations worldwide. The company also provides extensive leading-edge document technology, services, software and genuine Xerox supplies for graphic communication and office printing environments of any size. The 140,000 people of Xerox serve clients in more than 160 countries. For more information, visit http://www.xerox.com, http://news.xerox.com or http://www.realbusiness.com. For investor information, visit http://www.xerox.com/investor. Note: To receive RSS news feeds, visit http://news.xerox.com/pr/xerox/rss.aspx. For open commentary, industry perspectives and views visit http://twitter.com/xeroxcorp, http://realbusinessatxerox.blogs.xerox.com, http://www.facebook.com/XeroxCorp, http://www.youtube.com/XeroxCorp. XEROX ®, XEROX and Design ® are trademarks of Xerox in the United States and/or other countries.