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November 2024  Volume 22, Number 11        
 

Finding the Goldilocks Zone for Employee Health Programs

Employers often struggle to find the “just right” employee health and wellness programs.

Offerings that are too broad fail to drive engagement, while those too narrow struggle to improve health. However, data shows a “Goldilocks zone” exists—allowing employers to care for employees in a way that benefits well-being and the bottom line.

When Casting a Wide Net Catches Fewer Fish

Many organizations take a broad one-size-fits-all approach to health and wellness benefits. This fails to address employees' diverse needs. Per the CDC, over half of adults have at least one chronic condition, with nearly 30% having multiple chronic conditions—a figure expected to reach 83.4 million by 2030. When programs fail to meet the full spectrum of needs, participation flounders.

Employees struggle to see personal relevance, as the solution seems out of proportion with the problem. Like an oversized chair, blanket, and bed, the broad approach lessens optimized outcomes.

Going with Too Narrow Limitations

On the other end of the spectrum, many employers offer solutions targeting specific health conditions. While this approach provides helpful resources, its narrow scope means it does not work for people juggling multiple medical issues. Failing to address the interconnected nature of chronic conditions prevents understanding the full picture and limits the ability to point to comprehensive lifestyle changes.

This siloed tactic leaves out critical information, as if Goldilocks' choices were restricted to only the cold porridge, not the hot one and the one just right. Employees need solutions that account for the many variables affecting their health to find sustainable success.

Finding the “Just Right” Balance

Rather than choosing between two extremes, there is a third option that balances employee health programs. The key is using data to identify and segment priority groups based on more than just traditional metrics. This allows for targeting solutions to subsets of the population whose needs are overlooked.

Though not typically top spenders, analyzing their historical usage presents opportunities to improve health and reduce services through tailored intervention. Providing the right level of support leads to better engagement, changed behavior, and true impact—the hallmarks of “just right” programs. With advanced analytics showing the way, employers can take a “three cares” approach to make meaningful connections.

Caring About Data

The first step is mining data to reveal hidden facets within a workforce that drive health challenges. Isolating groups with rising utilization that suggest unmet needs allows for segmentation beyond one-size-fits-all. This outpaces the limitations of generalized or condition-specific solutions by targeting support to those primed to benefit.

With tailored outreach anchored in advanced identification techniques, engagement curated to employee segments drives better participation and accountability. And with proper tracking mechanisms, the impact of programming on health status and spending comes clearly into focus.

Caring About People

While technology plays a supportive role, human interaction is the foundation for sustainable behavioral change. Combining lifestyle guidance and medication management from clinical experts—such as health coaches and pharmacists—with customizable digital tools provides comprehensive care.

Addressing all aspects of an individual's health profile through one integrated solution, powered by empathetic experts, fosters unified progress. This “just right” level of personalization—not too much, not too little—offers the best chance for real outcomes.

Caring About Outcomes

Advanced targeting, human care teams, and customization combine to increase participation and embed beneficiaries in supportive communities. This is where the approach transforms. More effective engagement, combined with care coordination, leads to data-verified progress in health markers such as weight, blood pressure, and blood sugar.

Ultimately, results matter most. Employers seek health care cost savings, and employees want to feel their best. Achieving that balance requires redefining engagement, not as the goal itself, but as a way to drive measurable improvements.

 

 

 

 

In this issue:

This Just In ... New Guidance Allows 401(k) Matches for Student Loans

Employer Health Costs Set to Spike Upward in 2025

Biden Administration Finalizes Mental Health Parity Rule

Finding the Goldilocks Zone for Employee Health Programs

The Battle to Make Employees Care About Benefits Sign-Ups

 

 


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