EXCLUSIVE: More than three-quarters (78%) of respondents said cost is the main influencer behind their decision to buy, or continue to offer, healthcare benefits, according to exclusive research by Employee Benefits.

The Healthcare research 2013, which surveyed 376 HR and benefits professionals, found that only 7% calculate the return on investment (ROI) of their healthcare spend, down from the 10% that did so in 2011.

Around two-thirds (64%) do not calculate the ROI of their benefits spend, but 29% intend to do so.

The cost of providing health-related benefits has remained fairly consistent over the years. In 2006, more than a quarter (26%) of respondents spent less than 1% of payroll on providing health-related benefits, while one-fifth (20%) spent between 3% and 5%.

The 2013 research found that 20% of employers spent less than 1% of payroll on the provision of healthcare benefits, while 30% spent between 1% and 3%.

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Sample: All respondents that are responsible for, or influence, the purchasing of healthcare benefi ts in their own organisation (2013: 312; 2011: 126; 2009: 336)