We’re entering a new era of chronic condition care, where the latest weight-loss medications will allow employers to help their population live better for longer. But the interventions for long-term health don’t come from medications alone. Employers have a unique opportunity to shift from reactive to proactive care, in an unprecedented way. By grounding benefits strategies in clinical innovation and time-tested behavior change, healthy aging and enhanced quality of life is more achievable than ever before.
Chronic diseases, such as heart disease and type 2 diabetes, are the leading cause of death in the United States. However, GLP-1s are completely upending chronic condition prevention, management and prevalence. Research has found that these medications reduce the risk for multiple chronic conditions, including diabetes, heart attacks and strokes, kidney disease, liver disease, sleep apnea, MSK and more.
GLP-1 medications have a three-fold impact on longevity. First, they reduce the risk of many metabolic conditions that are proven to decrease life expectancy. Second, they have a broader effect on inflammation, a contributing factor to many age-related chronic diseases. And third, they reduce the risk of severe complications of many chronic conditions, so quality of life is improved.
All-in-all, these medications will have a broad impact beyond blood sugar control and chronic condition risk – potentially allowing people to live better for longer.
The future of GLP-1 care for healthy aging: Precision dosing
Obesity and chronic condition care is highly complicated and personal, with many factors playing a role like lifestyle, genetics, chronic disease, medications and more. Additionally, GLP-1 utilization brings its own set of factors, such as the large variety of medications available, dosing options, adherence issues and side effects. With so many moving parts, GLP-1 prescribing is far from a one-size-fits-all solution. Balancing these factors needs a nuanced and experienced approach.
And as indications and dosages expand, the need for precision care will increase. This is especially apparent when considering indications outside of obesity-related chronic conditions. For instance, studies are emerging showing that GLP-1s reduce the risk of addiction, seizures, and neurocognitive disorders such as Alzheimer’s and dementia. Many people with these conditions, such as the elderly population, may not need to lose weight or are at risk for decreased bone density from losing muscle mass. Their care will need to look different than someone with different circumstances and concerns.
Each future indication will have its own in-depth research and dosing recommendations. While this influx of treatment opportunities creates added nuance for GLP-1 prescribing, an even broader population will benefit from the reduced risk of obesity and weight-related chronic conditions and improved quality of life. And with this expansion, partnering with the right experts and providers to offer precision care will be more important than ever.
The foundation for long-term health: Behavior change
Even after highlighting the benefits of weight-loss medications, it’s important to add a crucial caveat. While it may be tempting to label them as a secret to long-term health, the reality of health outcomes is far more complex. Even with promising new treatments for obesity and weight-related chronic conditions, sustainable health still relies on a foundation of proven strategies. And that’s where one of the main pillars of long-term health comes in: Behavior change.
Comprehensive care that improves nutrition, physical activity, sleep, stress management, and more has a broad impact on health outcomes, sustainability and quality of life. It’s important to remember that it’s not just prolonging how many years people live but ensuring that the years are lived well.
5 ways employers can make the most of weight-loss medications on long-term health
- Rethink what success looks like: Start planning for outcomes beyond weight loss, such as improved quality of life and decreased prevalence of chronic conditions.
- Build flexible benefit frameworks: Design plans that can adapt as new research on expanding GLP-1 indications is released.
- Invest in behavior-change support: Make lifestyle and behavior change your foundation, not an afterthought. These approaches have a broad impact on chronic condition risk and quality of life, whether employees are taking GLP-1s or not.
- Integrate expert guidance: Find providers and experts who have more than surface-level knowledge of obesity and GLP-1s that can offer medication management, data-driven insights, and evidence-based support.
- Future-proof your budget: Begin modeling long-term scenarios now. Understand how supporting people more effectively may yield better outcomes and reduce health claims.
The next chapter in chronic condition care will include forward-thinking benefits strategies that recognize the full potential of GLP-1s and other weight-loss medications. The employers who start building now and embrace flexibility, behavior change and clinical expertise, won’t just manage costs. They’ll help shape a future with reduced claims, a healthier population and a more comprehensive approach to long-term care.
Photo: doomu, Getty Images
Dr. Tim Church MD, MPH, PhD, and Chief Medical Officer of Wondr Health is one of the country’s leading clinical thought leaders in exercise and obesity research. As the author of over 300 published clinical articles, Dr. Church has received many awards for his research in preventive health. At Wondr Health, Dr. Church leads the development of program curriculum, which is inspired by his medical expertise. Specializing in business-to-business strategies, Dr. Church is an advocate for the employer and has a proven track record of empowering organizations through disease prevention to decrease healthcare costs and inspire employees to be their best selves. Born in the benefits space 17 years ago, Wondr Health works with 2,000+ employers, and 140+ partners and health plans, to provide full-spectrum weight and obesity care for 14+ million eligible lives.
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