One-of-a-kind organizations deserve one-of-a-kind health benefits

The start of the new year can bring fresh aspirations, with new goals and resolutions.

But January signifies more than personal new beginnings, it also marks the start of the benefits year for many.

In this month’s newsletter we’ll talk about:

• The cost of unused and misused benefits ($36 BILLION in the last 30 days alone)
• How to address the key drivers of waste in your benefits program in 2025
• And why a tailored approach can help you maximize your potential

You ready? Better health starts here.

Navigating employee healthcare costs starts with your benefits plan

You’re facing an urgent need to contain and reverse soaring healthcare costs, but where can you begin? Start with your health benefits package.

The benefits you offer to employees are essential for creating a thriving workforce, leading to increased employee engagement, fewer sick days and decreased absenteeism, and, overall, better health outcomes.

You’ve spent a significant amount of time, resources, and budget to create your employee benefits for the year, and you want to make sure they are being used to deliver the results you’ve intended.

But the harsh reality is that traditional “off-the-shelf” benefits leave organizations (and your people) with generic resources. And this “one-size-fits-all” approach fails all.

Challenges in today’s healthcare environment

Ensuring employees get the health support they need from January 1 through December 31 remains a key priority, and we recognize there are significant obstacles standing in your way. 

Healthcare today is…

• Too complex
• Too general
• Too expensive

And these hurdles come with a hefty price tag.

$36B has been wasted on unused and misused health benefits in the past 30 days alone.

Why? Because people don’t use solutions that don’t fit.

Opportunities for better, more personal health

You need benefits and solutions as unique as your people. Where there’s something for everyone—not the same thing for everyone.

Because why would you pay for resources your people won’t use, when you can focus on what they need, want, and will actually benefit from?

That’s the power of personalization. Taking you from “good enough” to “what’s right for us.”

Because healthcare could be…

• Easier said and done. Picture straightforward healthcare, as it should be.
• Unique to everyone. Because a person’s health is everything, and every case deserves to be treated as such.
• A way to save. Where you no longer have to compromise between costs and quality of care.

It’s time we flip the script

There are four key drivers of waste that you can address right now:

1. Claims management. While not all wasted claims or services are fraudulent, all of them are somehow improper. We’ve found that AI can help employers monitor for and defend against unnecessary costs and services that compromise care.
2. Over treatment or low value care. Unnecessary or ineffective care adds to the waste problem and it also holds your people back on their health journey. We recommend focusing on enhancing health equity, access, and quality of care to deliver high-value and cost-effective support.
3. Low utilization of preventive care. Think of preventive care as your investment in your future health strategy. When your people get preventive care, they are more likely to address and manage health conditions that can potentially worsen over time – making it both proactive and a way to avoid more costly care later on.
4. Lack of care management. A care management solution can help you create lasting lifestyle changes for your population with early intervention and clinical support. Personify Health stands out in the market in terms of care management programs that have shown 23% lower allowed costs compared to the market average.

A few parting thoughts

To help you connect to the new health experience, here are three things to consider for your benefits packages:

1. Member participation is essential to improving overall engagement and creating less waste.
2. Health should be centered around the member and designed around your needs today & ready to evolve with you tomorrow.
3. Healthcare must be simple, accessible and equitable, because people shouldn’t have to piece their health experience together.

“Personalizing health and benefits programs to organizations, populations, and individual members is key to driving impactful outcomes and cost savings – and data, AI, and predicative analytics are key to making that a reality,” stated Executive Chairman at Personify Health, Chris Michalak.

Make healthiness happen for you and your people

Today’s siloed healthcare solutions don’t stack up. So, what do you say: Are you ready for an alternative?

Join us in February with Becker’s Healthcare for an industry panel, Navigating Employee Healthcare Costs: A CFO’s guide. You’ll hear from healthcare finance leaders on:

• How to anticipate and mitigate rising costs
• Why investing in AI, payment integrity, and innovative care management solutions is essential
• How to create your own “playbook” to cultivate a thriving workforce while also building sustainable financial health and competitive market positioning