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Healthcare Benefit Trends Report: Employers Shift to More Independent Navigation, Embrace GLP-1 Drugs with Restrictions

The 2025 Benefits Sentiment Index, a survey of 120 benefit consultants to self-insured employers, focuses on healthcare navigation, GLP-1 drug coverage and AI trends for healthcare benefits.

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A majority of benefit consultants recommend that self-insured employers look to independent healthcare navigation solutions, according to a new survey conducted by MedCity News and sponsored by Quantum Health. Self-insured employers are also adopting GLP-1 drug coverage conditioned upon measurable outcomes, according to the third annual Benefits Sentiment Index.

The 2025 Index, based on a survey of more than 120 benefit consultants, found that consultants often guide self-insured employers to independent healthcare navigation companies, citing the need for a better member experience, stronger clinical integration and greater transparency in cost savings.

The Index also highlighted the growing influence of AI. Seventy-two percent of consultants said they counsel clients on the impact of AI in benefits programs. Nearly one-third (31%) said they now advise on AI frequently or most of the time, compared with 20% in 2024.

As GLP-1 drug coverage has become a more pervasive benefit option, adoption is being conditioned upon results that can be validated. Of the 87% of the consultants who said they advise employers on GLP-1 drug coverage, a little more than half, 54%, said they help clients tie GLP-1 drugs to quantifiable value and cost outcomes.

One consultant volunteered: “We are steering clients toward predictive modeling to identify who will benefit and avoid waste.”

To access the 2025 Benefits Sentiment Index, please fill out the form below:

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