Self-insured employers negotiate a dizzyingly complex health care benefits landscape these days – managing inflation, escalating costs and point solution fatigue while keeping their employees healthy and happy with offerings tailored to their personal health journeys. Faced with tough decisions and trade-offs, employers are leaning more than ever on benefits consultants for trusted advice to help them manage the myriad choices available and plot a strategic course for their employee health care benefits.

Against this backdrop, we recently sponsored a first-of-its-kind survey to understand the mindset and direction of today's health and benefits consultants. Taken as a whole, the key findings of the Benefit Consultant Sentiment Index (The Index) offer a valuable consultant lens on trends and a glimpse of the near future of employer-based healthcare benefits.

Consolidation under a navigation solution is essential and inevitable.

There's no question that employers are overloaded and fatigued by point solution management. Over the past three to five years, the average employer brought on 13-17 digital health solutions, only to find that most are underutilized and account for little-to-no improvement in cost or health outcomes. The answer, 63% of consultants reported, is the inevitable consolidation of digital health point solutions under a navigation provider.                   

Meanwhile, despite all the progress made toward digital transformation, the care experience for most patients remains both fragmented and frustrating. Employers pay the price with high costs and poor outcomes when their members are left to stitch together their care journeys with minimal to no guidance. Respondents overwhelmingly agree that the future is integrated navigation that can enable, "streamlined patient journeys leveraging longitudinal health records, bridging patients, providers and customized therapies from pharma and life sciences," as one consultant put it.

Navigation through employers' existing carriers doesn't meet the needs of employers.

Traditionally, insurance carriers have been the gatekeepers for health care navigation, but that's rapidly changing, according to findings from the Index. Sixty percent of consultants now say that employers' existing carriers are simply unable to meet their clients' evolving navigation needs. As employers take a more holistic view of care quality and cost – with greater focus on prevention and long-term outcomes – they are finding that carriers may be in conflict when working to steer to providers in their network. Further, as some consultants stressed in the survey, "members need more hand holding" and "higher levels of engagement" and employers need more transparency than carriers have historically delivered.