Health Affairs August 25, 2021
US companies consistently report the rising cost of health insurance as a top concern. Indeed, it is the largest employee-related expense, and the cost of health insurance has consistently risen faster than inflation.
Surveys show that large, self-insured employers have adopted various strategies to reduce health care costs (for example, adopting high-deductible health plans) and, more productively, improve the value of health spending (for example, reducing employee cost sharing for high-value services and medications). The vast majority also offer wellness benefits to improve their employees’ health. Nevertheless, many of these efforts have been in vain: As health care costs continue to rise, the most rigorous studies of wellness programs show little effect on health outcomes, and evaluations of individual...