Most renewal meetings explain what healthcare cost last year. They rarely answer the more important question: is your covered population becoming healthier — or sicker?
James M. Knox
Author & Thought Leader
Every year, employers sit through renewal meetings that follow a remarkably similar script. The broker presents claims data, pharmacy trend reports, utilization summaries, market benchmarks, and projected renewal increases. What is less familiar is questioning whether the information being presented is actually sufficient to manage long-term healthcare costs.
Most renewal discussions are focused on explaining what happened during the previous year. They identify the largest claims, the most expensive medications, the fastest-growing diagnostic categories, and the factors that contributed to the upcoming renewal increase. While this information is important, it is also inherently retrospective. It explains the past far better than it predicts the future.
The growing use of GLP-1 medications has made this limitation more visible. When renewal discussions focus exclusively on treatment costs, employers may miss the larger trend developing underneath the claims data. The medication is not the underlying problem. The medication is a response to the underlying problem. The real issue is the prevalence of metabolic disease within the population.
The next time an employer sits down for a renewal meeting, there is a simple question worth asking: "We know what our healthcare costs were last year. How do we know whether our population is becoming healthier?" It is a straightforward question. It is also one that many organizations struggle to answer.
James M. Knox
Author, strategist, and thought leader at the intersection of employee benefits, metabolic health, and business. Founder of HealthDividend360 and contributing member of the Grapefruit Life editorial team.
Read more about James →For America's largest employers, GLP-1 medications are no longer a pharmacy issue. They are a billion-dollar budget issue — and the conversation is moving from HR to the boardroom.
Employer BenefitsBehind the 9%, 14%, and 20% renewal increases showing up across the country is a pharmaceutical cost wave rapidly reshaping employer-sponsored health insurance — and many brokers are still presenting it as 'general medical trend.'