Why cover GLP-1s? They’ll lower employer healthcare costs, study says

by Chief Editor

The GLP-1 Revolution: How Weight Loss Drugs Are Reshaping Employer Benefits

For years, employer-sponsored health plans have grappled with rising costs and a growing prevalence of chronic conditions. Now, a new player is dramatically altering the landscape: GLP-1 receptor agonists, initially developed for diabetes, but increasingly popular for weight loss. Recent data suggests these medications aren’t just a trend, but a potential turning point in how companies approach employee health and wellbeing.

Beyond Weight Loss: The Surprising Health Benefits

The narrative around GLP-1s like Ozempic and Wegovy has largely focused on weight management. However, groundbreaking research from Aon reveals a far broader impact. Analyzing data from over 50 million individuals, including nearly 200,000 GLP-1 users, they found that sustained use correlated with a 6% reduction in medical cost growth for those with diabetes after 30 months. Crucially, adherence played a significant role – 80% adherence led to a 9% reduction in medical cost growth.

But the benefits extend beyond diabetes. The Aon study also uncovered a remarkable link between GLP-1 use and reduced cancer risk, particularly for women. GLP-1 users experienced a 50% lower incidence of ovarian cancer and a 14% lower incidence of breast cancer compared to non-users. Furthermore, both men and women on GLP-1s showed fewer hospitalizations for major adverse cardiovascular events like strokes.

Did you know? Obesity is a major risk factor for 13 types of cancer. GLP-1s, by aiding in weight loss, may indirectly contribute to cancer prevention.

The HR Dilemma: Coverage and Cost

Despite the compelling data, employer coverage of GLP-1s remains surprisingly low. A recent SHRM survey found that only 23% of employers currently cover these medications. This hesitancy is largely driven by cost concerns. Healthcare costs are projected to rise by 9.5% in 2026, with prescription drugs – including GLP-1s – being a major contributor, according to Aon. HUB International’s 2026 benefits cost outlook echoes this sentiment, highlighting the “significant impact” of GLP-1s on the benefits landscape.

However, framing GLP-1s solely as a cost burden overlooks their potential as a strategic investment in employee health. Farheen Dam, Aon’s Head of Health for North America, emphasizes the importance of a holistic approach. “The real impact comes when employers consider not just coverage, but also how these medications are used, supported and sustained over time,” she states.

A Shift Towards Preventative Care & Personalized Benefits

The rise of GLP-1s is accelerating a broader trend towards preventative care and personalized benefits. Employers are increasingly recognizing that addressing underlying health conditions – like obesity and diabetes – is more cost-effective than treating the complications that arise from them. This is leading to a greater focus on comprehensive wellness programs that include nutrition counseling, exercise initiatives, and mental health support.

We’re also seeing a move towards more flexible benefits packages. Instead of a one-size-fits-all approach, employers are offering employees a wider range of options, allowing them to choose the benefits that best meet their individual needs. This could include tiered coverage for GLP-1s, with higher levels of coverage for those who participate in wellness programs or demonstrate consistent adherence to their treatment plan.

Pro Tip: Consider offering GLP-1 coverage as part of a broader chronic condition management program. This can help ensure that employees receive the support they need to maximize the benefits of the medication and achieve lasting health improvements.

The Future of GLP-1s in Employer Plans

Looking ahead, several key trends are likely to shape the role of GLP-1s in employer-sponsored health plans:

  • Increased Coverage: As more data emerges demonstrating the long-term cost savings and health benefits of GLP-1s, we can expect to see more employers adding coverage to their plans.
  • Value-Based Care Agreements: Employers may negotiate value-based care agreements with pharmaceutical companies, tying reimbursement to patient outcomes.
  • Integration with Digital Health Tools: GLP-1 programs will likely be integrated with digital health tools, such as telehealth platforms and wearable devices, to provide personalized support and track patient progress.
  • Focus on Adherence: Employers will prioritize programs that promote medication adherence, recognizing that consistent use is crucial for achieving optimal results.

FAQ: GLP-1s and Employer Benefits

Q: Are GLP-1s right for all employees?
A: No. GLP-1s are typically prescribed for individuals with diabetes or obesity, and are not appropriate for everyone. A thorough medical evaluation is essential.

Q: What is the typical cost of GLP-1 medication?
A: The cost varies depending on the specific medication and insurance coverage, but can range from $900 to $1,600 per month without insurance.

Q: How can employers encourage responsible GLP-1 use?
A: By integrating GLP-1 coverage with comprehensive wellness programs, providing education about the medications, and monitoring patient outcomes.

Q: Will GLP-1s eventually become a standard benefit?
A: It’s too early to say definitively, but the growing body of evidence suggests they will become increasingly common as employers seek to manage healthcare costs and improve employee health.

The GLP-1 revolution is underway. Employers who proactively address this trend and embrace a holistic approach to employee health will be best positioned to navigate the changing healthcare landscape and create a healthier, more productive workforce.

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