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March 26, 2025

Sustainable solutions for rising costs: a new era in employer healthcare benefits

The landscape of employer-sponsored healthcare is shifting. As costs continue to rise—fueled by medical inflation, expensive treatments and an aging population—this could be the tipping point for employers, forcing them to reduce benefits or pass more costs onto employees.

However, cutting coverage can backfire, as 70% of United States employees would leave their jobs for one with more competitive offerings, an Economist Impact study found.

While this puts employers in a bind, forward-thinking companies are embracing creative solutions to support both cost containment and employee satisfaction.

Understanding cost drivers: laying the foundation for smarter health strategies

Healthcare costs are projected to rise above 5% in 2025 for the third consecutive year, according to Mercer. Before developing and implementing cost-cutting strategies, employers first need to understand what's driving the increasing expenditures.

A key finding in Marsh McLennan Agency’s 2025 Employee Health & Benefits Trends report is the growing burden of chronic conditions—most notably mental health issues among millennials and Gen Z employees—that’s adding further strain.

Compounding this are the increasing costs of hospital operations, where labor expenses alone account for 60% of costs, according to the American Hospital Association. Prior authorizations and automatic claim denials from insurers have further weighed down hospital staff and driven up the cost of care for employers and employees.

To combat this, employers can implement preventive care programs that identify and address chronic conditions early, helping to reduce long-term costs.

In the meantime, companies can invest in mental health resources to support younger employees, improve overall well-being, and mitigate the growing number of behavioral health claims. Greenwald Research conducted a workplace wellness survey that found 51% of Gen Z and 40% of millennials have expressed more interest in expanded mental health benefits compared to Gen X (28%) and baby boomers (23%).

These expanded benefits include free counseling sessions with a mental health therapist or coach. Gen Z and millennials also reported a stronger interest in access to health coaches, employee assistance programs, and other resources to improve their mental health.

Partnering with health carriers that offer comprehensive reporting and data insights allows employers to pinpoint cost-driving health issues within their workforce, making it easier to tailor coverage for employees today and in the future.

Optimizing benefits: containing costs without compromising care 

Companies are looking at solutions with the greatest cost impact in response to escalating healthcare expenses, but this can risk employee dissatisfaction and talent loss.

Mercer also surveyed leaders for a 2024 report on employer-sponsored health plans and found that the most important strategies for the next three to five years to include:

  • Managing high-cost claimants
  • Controlling specialty drug costs
  • Enhancing benefits to improve talent attraction and retention
  • Improving healthcare affordability
  • Expanding access to behavioral health services

The 2025 Employee Health & Benefits Trends report also found that companies can save between 10% and 30% annually on healthcare costs through high-performance networks and reference-based pricing.

High-performance networks focus on high-quality, cost-efficient providers to deliver better outcomes at lower costs. Reference-based pricing helps employers cap expenses while eliminating surprise costs.

Self-funded plans can also be a viable option for some employers, potentially saving 8% to 10% in the long term when properly managed. This path allows employers to pay healthcare claims directly rather than purchasing fully insured plans, offering greater control over costs and claims data.

Employers that use a self-funded strategy have the flexibility to negotiate provider agreements and implement strategies to manage fixed expenses effectively, though the costs of procedures and hospital claims from their employee or member population can vary from year to year.

Each of these methods can optimize spending and improve the overall value of benefits, though success varies by employer and plan richness. These approaches will require employee education to ensure that members understand how to access care effectively.

Transparency and customization: meeting the demand for flexible benefits 

More than 79% of millennial and Gen Z employees highlighted the need for personalized coverage, according to the Society for Human Resource Management. To meet these demands, employers are turning to solutions that offer greater customization and insights into healthcare costs.

Data analytics platforms play a crucial role, offering employers a comprehensive view of claims data, utilization patterns, and underlying cost influences. Armed with this knowledge, companies can design benefits programs that address their workforce’s specific needs.

Companies that pass on additional costs risk losing valuable talent and diminishing workplace morale. Instead, leveraging data-driven solutions and tailored cost-management strategies helps businesses forecast healthcare spending while preserving the quality of benefits.

The future of benefits: data-driven strategies for a healthier, happier workforce

With healthcare costs continuing to escalate, the traditional playbook for managing expenses is no longer sufficient. Organizations that invest in innovative strategies can not only control costs but also enhance employee satisfaction, productivity, and overall well-being.

Marsh McLennan Agency’s expert team helps companies of all shapes and sizes determine the best business insurance, employee health and benefits, and more for their needs. Connect with a Marsh McLennan Agency representative to explore how we can help your business.
 

Contributor

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Elise Thorpe

Principal, Sr. Vice President, Employee Health & Benefits