"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
Look at a self-insured option if available, because it gives you visibility into actual claims data and utilization, which lets you manage costs instead of just cutting them.
If self-funding isn't an option, consider a higher deductible plan paired with voluntary/ancillary products (accident, critical illness, HSAs/HRAs) that cover the gap the higher deductible creates.
Push your broker and vendor partners hard to bring you the full range of available solutions (drug importation programs, high-performing networks, decision-support tools) rather than accepting the first off-the-shelf option.
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
Treating voluntary benefits as a 'check the box' exercise instead of a thoughtfully curated, personalized package.
Offering only one-size-fits-all benefits packages instead of tailoring products to what different employee segments actually need.
Not leveraging historical claims/utilization data when selecting plans, which leaves employers unable to see (and therefore manage) where money is going.
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.