Coverage for pharmacy cost management, cancer care support options, the impact of GLP-1 weight-loss drugs, and the need to deliver ROI for virtual care are just some of the issues that self-insured employers need to consider in their employee healthcare benefit options, according to a new report.
In the second annual Benefit Consultant Sentiment Index (The Index): Benefit Consultants’ Perspective on Shifting Employer Healthcare Landscape, a report by MedCity News and sponsored by Quantum Health, more than 100 skilled consultants to self-insured employers share their perspectives on these and related topics servicing a broad range of employers ranging from under 500 to more than 50,000 employees.
A unifying thread in each is the increasing need for care navigation solutions that can help companies make more informed healthcare choices, drive better utilization of benefits among employees and help with cost management.
Among the key insights that reveal a shifting and consolidating landscape of healthcare benefits support:
- 63% of respondents said that their clients are considering consolidation of digital health point solutions all under a healthcare navigation solution to address point solution fatigue.
- 61% of consultants are advising clients more often on new drug costs and
pricing strategies for their self-funded employer plans. - 41% of consultants say employers are using care navigation tools and software to support employees with cancer.
- Preventive care benefits for self-insured employers rose significantly in 2024 to 42% compared with 29% last year.
These and other consultant perspectives provide a glimpse into the macro trends in the healthcare benefits space as pressures on benefits cost management become a higher priority.
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