August 23, 2022

2023 Large Employers' Health Care Strategy and Plan Design Survey

This survey explores the employers’ views on health and well-being, health care delivery reform, prescription drugs and health care costs.

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Based on the findings from the 2023 survey, the following emerged as top focus areas among employers.

1| Dramatic increase in the importance of health and well-being to workforce strategy due to many factors.

While COVID-19 emphasized the importance of the role of health and well-being in the workplace, the rising number of employers asserting that their health and well-being strategy plays an integral role in workforce strategy—increasing from 42% to 65%—is the culmination of many factors that have been building for several years. These include the need to attract and retain talent through benefits and offerings, as well as supporting employees’ overall health and well-being and its impact on business performance and culture.

 

Figure 1: The Role of Health and Well-being in Large Employers’ Workforce Strategy, 2018-2022

2| The time to assess and improve virtual health has come.

Virtual health has permeated many aspects of employer health and well-being offerings. In fact, 74% believe that virtual health will have a significant impact on how care is delivered in the future. Yet virtual health is approaching a critical crossroads. To have influence on the quality of care, 84% of employers believe that integrating virtual health and in-person care delivery is essential and the most important action their partners can take. Otherwise, the virtual health experience may lead to duplication of services, unnecessary care, wasteful spending and a fragmented care experience. Despite existing integration challenges, employers believe virtual health holds promise. This is evidenced by the anticipated growth of virtual primary care offerings, increasing from 32% in 2022 to 69% in 2025, and plans by 57% of employers to add even more virtual health solutions in 2023. In sum, virtual health is here to stay, but improvements in quality, integration and marketplace rationalization are needed before it can realize its full potential.

 

Figure 2: Large Employer Views of Virtual Health, 2019-2022

 

Figure 3: Large Employers’ Concerns Regarding Virtual Health, 2022

2023 Large Employers’ Health Care Strategy Survey: Executive Summary

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