If regulators stick with the current ICHRA rules, the ICHRA program "has the potential to lower individual market premiums by improving the risk profile," the actuaries write.
With increasing demand and higher costs, ensuring appropriate patient access is more critical than ever and 2025 will likely be key in determining the impact of GLP-1s on plan costs.
Wage increases and job growth have spiked premiums across workers’ compensation despite market challenges like medical inflation and a changing workforce.
If employees can buy the coverage through an off-exchange Section 125 cafeteria plan, then the employees can pay the premiums with pre-tax earnings, the executives say.
“Coverage of GLP-1s is not necessarily in-your-face obvious. It leads to the conversation of whether we want to pursue weight loss through drug products or something like a wellness program," said Zak Kornblum, Pharm.D., pharmacy clinical director for Marsh McLennan Agency.
Seventy-nine percent of respondents believe their generation will have a much harder time achieving financial security compared with their parents' generation.
The decline in HDHPs is evidence that employee health care is at a crossroads, one that benefits advisors must navigate carefully if they hope to succeed in a fast-evolving landscape.