Brown & Brown Reveals Results of Inaugural Health and Benefits Strategy Survey
To get a sense of employer mindset, the survey first asked employers to select their top five strategic priorities related to health benefit programs. ‘Attracting and retaining a competitive workforce’ was the most highly ranked at 65%. This was followed closely by controlling both employee and organizational health benefit costs (62% and 60%, respectively).
“The findings from our inaugural survey further exemplify the balancing act many employers face,” said
To address the top priority of attracting and retaining top talent, many employers indicated they were using or investigating programs to address the much-publicized mental health issues facing today’s workforce. Employers are implementing, or are considering for 2026, Centers of Excellence to enhance mental health support (41%), improving provider quality (41%) and increasing provider access (44%). Other areas of focus and investment to strengthen the attractiveness of benefit offerings include expanding fertility coverage, offering paid parental leave and strengthening disability coverage.
Along with these investments, employers identified equally important strategic opportunities to control costs over the next three years. The most popular method was to perform a medical and/or pharmacy RFP (81%). Additional cost-saving initiatives identified by a large majority of respondents include evaluating medical stop-loss captives (76%), utilizing various audits and assessment tools (75%), adding or enhancing transparency tools (71%) and introducing virtual primary care (70%).
Given the increasing share of prescription drug benefit costs in overall employer health care spend, the survey asked employers about GLP-1s coverage and their use for weight loss by plan members. While 70% of employers surveyed say they cover GLP-1s for weight-loss, 78% of this cohort currently have control measures in place, ranging from standard formulary restrictions to site-of-care stipulations. For 2026, 85% of these employers are considering additional GLP-1 weight-loss restrictions, such as required step therapy and lifestyle management programs.
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bruce.lee@bbrown.com
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