Today’s employee health benefits trends are all about getting the right care to the right people at the right time. Together, these trends make health care more equitable and accessible with opportunities for better cost management.
Maintaining good health is the easiest way to improve employee productivity and presenteeism, while also saving insurance dollars. Periodic doctor visits, diagnostics, and screening tests are essential for both early detection and chronic disease management.
“Preventive care identifies potential concerns and reduces the risk of an employee or family member suffering a preventable illness. An employer-provided screening test could change the trajectory of someone’s health,” says Jonathan Majernik, Vice President, National Markets, Highmark Inc.
For example, health screening intake information could show that an employee doesn’t have a primary care provider (PCP). Highmark can flag this gap and present that employee with a choice of in-network doctors, setting the stage for continued care.
Employers can also offer wellness rewards programs to incentivize preventive care. Rewards can be in the form of reduced premiums, gift cards, or contributions to a health savings account. Rewards are a win-win for employers and for employees and their families.
“Our internal data shows that an average of 5% of any employee population accounts for 40% of health care claims. We want to reduce those numbers,” states Majernik. Investments in employee health and well-being can keep costs lower for everyone.
Another important trend is the recognition of health and wellness benefits as one of the deciding factors in employer choice. Employees expect more from their benefits package in the post-pandemic era.
Data from the Society for Human Resources Management1 (SHRM) shows that benefits are one of the top three contributors to job satisfaction. However, only 68% of employees are satisfied with their current benefits. A survey from Parsley Health2 goes further, saying that 71% of women would change jobs for better benefits.
“As strategists, my team looks at risk, cost, and opportunity,” says Majernik. “Analytics help us connect the dots for the employer and their specific employee population in terms of programs and solutions.”
One area of focus for Highmark is musculoskeletal care. A collaboration with SWORD Health delivers virtual physical therapy to members, complete with computer equipment and sensors. All age groups can benefit, whether someone is recovering from a weekend sports injury or joint replacement surgery.
Thrive Sword is available at no additional cost to Highmark members aged 13+, as part of health plan benefits. Individuals ages 13-17 must obtain consent from a parent or guardian.
Women’s health is another area that gets special attention due to a continuum of health care needs over time. A younger woman might have family planning goals or need care for a high-risk pregnancy. She will also need regular health screening exams, including mammograms. Later in life, this same woman may want support for menopause-related concerns.
Highmark collaborates with Bloom, a SWORD Health program, to provide woman’s health services. Bloom is available at no additional cost to members age 18+ (with vaginal anatomy), as part of health plan benefits.
Members should not use Bloom in the first trimester of pregnancy. They should also consult with a physician or other qualified provider before using Bloom during the second or third trimesters. Bloom is not designed to be used by those with a complicated or high-risk pregnancy.
A similar collaboration exists for mental health care with a network of 6,000 providers through Spring Health. Members can choose a therapist by gender, ethnicity, language, faith, and/or experience with LGBTQ+ patients. Highmark’s Mental Well-Being solution is powered by Spring Health.
“We take an activity-based pricing approach to our solutions,” explains Majernik. “That means employers can offer specialized programs for physical and mental health — without a huge up-front investment.”
Fees for service are paid back through claims based on frequency of employee usage. This model makes it easier for employers to support the diverse needs of today’s multigenerational workforce.
Of course, members should always seek the advice of a physician or other qualified health provider. They are the best resource for questions or concerns regarding a medical condition and before beginning a wellness program.
Everyone consumes information differently, which is why Highmark recommends an omnichannel approach to employee benefits communication. Whereas one employee might want to call customer service, another might prefer self-service via the My Highmark app or portal.
Highmark marketing communications experts support employers in sharing benefits information in a manner suitable for their employee base. . “Think about truck drivers, for example,” says Majernik. “Traditional communication channels aren’t necessarily going to work for that audience.”
Benefits communications are especially important at annual benefit plan milestones. These milestones include wellness reward expiration, year-end flexible spending account (FSA) limits, and health care saving account (HSA) balances.
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References
All references to “Highmark” in this communication are references to Highmark Inc., an independent licensee of the Blue Cross Blue Shield Association, and/or to one or more of its affiliated Blue companies.
Sword Health is an independent company that provides wellness services for Highmark Health plans. Sword Health Professionals provides its services through a group of independently owned professional practices consisting of Sword Health Care Providers, P.A., Sword Health Care Providers of NJ, P.C., and Sword Health Care Physical Therapy Providers of CA, P.C.
Spring Health is an independent company that provides mental health care services through its agents. Spring Health does not provide Blue Cross and/or Blue Shield products or services. Spring Health is solely responsible for their mental health care services.
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