← Inside SHRM26
SHRM26 Debrief · Compensation & Benefits · #3618

Future-Ready Benefits: Balancing Cost, Care, and Employee Experience

with Dave Przesiek & Amy Mattingly & Lindsey Murrary
▶ Watch on the SHRM portal ~47 min, distilled
voluntary benefitsself-fundingstop loss insurance

"If you can see it, you can better manage it. If you can't see it, you can't manage it, and you're just throwing good money after bad out the window."

What it was about

Employers don't have to treat cost, care, and employee experience as competing priorities; by using data (self-funding/stop loss), personalized voluntary benefits, and better education, they can build a benefits package that is affordable and still delivers a strong employee experience.

By the numbers

two-thirds of Americans
don't have $1,000 in their bank account to cover an unexpected cost
nearing $27,000
average family health insurance premium, up 6%
doubled since 2019
number of million-dollar health insurance claims

Key notes

The contrarian takeSelf-funding is now viable well below the traditional 500-employee threshold. Drug importation programs (sourcing the identical drug from overseas) can cut prescription costs by two-thirds, which runs against the conventional assumption that self-funding is only for large employers and domestic drug pricing is fixed.

Take this back Monday

Do this for your team

Survey your team on which voluntary benefits (accident, critical illness, pet insurance) they'd actually value instead of renewing the same one-size-fits-all package.

Say this in your next leadership meeting

Cost, care, and employee experience aren't competing priorities — with claims data and personalized voluntary benefits, we can manage cost without cutting care.

Watch out for

Fun fact · Gwen Tormey

Before running strategy at Corestream, she founded Footstep Labs, a physical therapy telehealth startup, after stints at Bain and Golden Gate Capital.

Shareable quote card

If this landed, see these

↳ Go deeperFuture Proofing Your Health Benefits: A Panel Discussion on Multi Year Planning and High Performance Program DesignTakes the self-funding data argument all the way into full PBM, network, and TPA governance.⇄ The counterpointAdapting to Change: What Workers Really Need in an Age of Economic UncertaintyComplicates the affordable-benefits pitch: workers are already raiding retirement just to cover today's costs.✦ The unexpected oneEmotional Intelligence Is a System Skill That Makes Work WorkSame fix, different altitude: redesign the system's defaults, not just cut line items.