Fortune | FORTUNE 2024年11月21日
High demand for weight loss drugs like Ozempic and Wegovy is impacting employer health care costs—but it can be critical for retaining talent
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一份新的研究显示,大型企业为肥胖药物(如Ozempic和Wegovy)提供的保险覆盖率正在上升,这导致雇主医疗成本持续增加。2024年,拥有500名以上员工的大公司中,44%为这些药物提供保险覆盖,而2023年这一比例为41%。此外,员工医疗成本预计在2025年将进一步上涨5.8%。除了肥胖药物外,生育治疗和癌症支持等专业医疗服务也导致雇主医疗支出增加。为了控制成本,雇主正在扩大医疗计划选择,例如提供更多EPO计划和虚拟初级保健服务。专家建议企业与药房福利管理公司合作,实施患者的临床管理计划,以帮助控制肥胖药物相关的成本,同时强调这些药物可能对肥胖流行和未来医疗成本产生积极影响。

🤔大型企业为肥胖药物(如Ozempic和Wegovy)的保险覆盖率持续上升,2024年拥有500名以上员工的大公司中,44%提供覆盖,高于2023年的41%。

📈雇主医疗成本持续上涨,2024年平均每位员工的医疗成本增长4.5%至16,501美元,预计2025年将进一步上涨5.8%。

🧬除了肥胖药物外,生育治疗和癌症支持等专业医疗服务也导致雇主医疗支出增加,例如,超过一半的大型企业提供生育治疗,三分之二的大型企业提供癌症支持服务。

💼为了控制成本,雇主正在扩大医疗计划选择,包括提供更多EPO计划和虚拟初级保健服务。

💊专家建议企业与药房福利管理公司合作,实施患者的临床管理计划,以帮助控制肥胖药物相关的成本,并认为这些药物可能对肥胖流行和未来医疗成本产生积极影响。

Coverage for obesity drugs like Ozempic and Wegovy among large companies (with 500 or more employees) rose to 44% this year, up from 41% last year, according to a new study from HR consulting company Mercer released this week. And around 64% of companies with 20,000 workers or more now cover it, compared to 56% in 2023.“Expanding health benefits can play a crucial role in attracting and retaining talent,” Tracy Watts, national leader for U.S. health policy at Mercer, tells Fortune. “While the rising costs of health benefits pose challenges, ensuring employees have access to quality care is paramount,” she notes.That demand for those weight loss drugs is the main driver behind increasing spending for employers. Average health care cost per employee increased 4.5% this year to $16,501, compared to $15,797 in 2023 to $16,501, according to the study. And employer health care costs are expected to rise another 5.8% in 2025. About 12% of adults report having used some type of GLP-1 drug, a category that includes Ozemic and Wegovy, according to a May study from the Kaiser Family Foundation, a non-profit health care policy research institute. Given that roughly 40% of adults in the U.S. are considered obese, according to the Centers for Disease Control and Prevention, the demand is likely to stay strong.  Other specialized medical treatment is also leading to increased employer spending on health care. Fertility treatments, including elective egg and sperm freezing, are becoming more common in workplace benefits packages, and are now offered by 64% of large employers with more than 500 employees, the study found. Employers are also providing more specialized support to employees with cancer; roughly two-thirds of large employers offer some services that include things like case management, caregiver resources and workplace support. To try and control costs, employers are expanding their portfolio of medical plan choices. Roughly 65% of large employers now offer three or more health care plans, including exclusive provider organization (EPO) plans, which use a closed provider network to keep costs down and are less expensive than traditional PPO options. Virtual primary care services are also gaining traction. When it comes to controlling costs around weight-loss medications specifically, Watts recommends that companies work with pharmacy benefit managers to implement clinical management programs for patients. But they should still take care to offer those options.These medications “may turn the tide on the obesity epidemic and positively impact downstream medical costs,” said Watts. She adds that “even if employees or their families do not personally need certain specialized programs or coverages, they appreciate being part of an organization that prioritizes the well-being of all employees,” says WattsHow many degrees of separation are you from the globe's most powerful business leaders? Explore who made our brand-new list of the 100 Most Powerful People in Business. Plus, learn about the metrics we used to make it.

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肥胖药物 雇主医疗成本 员工福利 医疗保险 EPO计划
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