Controlling benefit costs in 2020: Look at the big picture
To control health care costs in 2020, employers should consider a holistic approach to overall wellness rather than a myopic one.
The employee benefits market saw a high demand for financial and behavioral health services this past year, both from employees who sought support and employers who saw the impact of these issues on their productivity and bottom line.
We also experienced an expansion of telemedicine services, with more interest in virtual access to behavioral health, second opinions, chronic health care and more. Like shopping, entertainment, and even transportation, consumers want health care on-demand.
I believe 2020 will build on the progress we saw in 2019, including expansion of on-demand care, increasing health care transparency and realizing the power of data.
Related: Health care data analytics: true meaning, actionability and value
Employers will continue searching for proactive ways to redirect health care costs. These strategies should include a holistic approach to overall wellness rather than a myopic one. Benefit strategies including access to behavioral health, advocacy and price transparency, financial coaching and wellness tools, caregiver support, and access to second opinion or co-diagnosis services will most greatly impact employee well-being and employer costs.
Behavioral health
Currently, behavioral health services are viewed as significant additions to a benefit package, but still just “nice to have.” As the need for behavioral health support becomes clearer and the workforce becomes more demanding, behavioral health benefits are increasingly becoming a necessity. Organizations can no longer ignore the massive impact poor mental health has on productivity and physical health. Millennials are projected to make up 50 percent of the workforce in 2020, and Gen Z is just starting to enter the workforce. These younger generations boldly reject the mental health stigma and vocalize their desire for support.
Caregiver support
One in five employees double as caregivers, and that number will continue to increase as our population ages. These employees are distracted at work, take more time off, and experience higher levels of stress due to their multitude of responsibilities.
While still a relatively new concept, interest in caregiver support services continues to grow. There’s a rapidly increasing population of aging adults who need some level of assistance, and an equally growing number of caregivers who need help providing it. Caregiver support offers value to everyone involved in the caregiving journey.
Second opinion/co-diagnosis
Twenty percent of medical cases are misdiagnosed. Not only can these misdiagnoses be life threatening, the cost of unnecessary overtreatment or mistreatment can be enormous. Redirecting just one unnecessary medical procedure can offer incredible value. Virtual access to second opinions and co-diagnosis from world class physicians can make a big impact on both employers and employees. The employee has peace of mind from receiving more education on their options and gaining more control of their health care journey, while employers redirect claims and save massive amounts in health care spending.
Harnessing data
We are still in the infancy of trying to understand how to use health care data and analytics to change employee behavior, but the picture data paints becomes clearer each year. 2020 should bring with it a new perspective on harnessing health data to make more informed health care decisions and identify valuable benefits.
Pharmacy discounts
Pharmacy discounts have unfortunately become too “out of sight, out of mind.” While they might not be the focus of the conversation, likely due to market saturation, they’re still a critical piece of the health care puzzle. Beyond increasing price transparency, the future of pharmacy discounts lies in consumer education. We can use these discounts on so much more than people realize: pet medications, fertility drugs, dermatological medications, OTC items written as prescriptions such as vitamins and folic acid, and drugs that typically fall outside the formulary like acid reflux medication. Not to mention, the convenience and cost savings associated with mail order pharmacy should not be overlooked.
As Helen Keller said, “The only thing worse than being blind is having sight but no vision.” The benefits market is always changing, and possibly even more so in an election year. Keep your eyes open, and if you haven’t started already, start building your benefits vision for 2020.
Amanda Franklin is EVP Operations at New Benefits. She ensures efficiency throughout the company and champions new processes to support the company’s strategic plans. She cultivates relationships with vendor partners, and is responsible for the implementation of new and relevant benefit solutions to meet evolving customer needs.
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