If you're a benefits leader at a self-insured employer, you already know where healthcare costs are tracked – claims reports, pharmacy spend and utilization trends. But what are the decisions that actually drive those numbers? They happen between visits, between refills and between escalations, in the moments most current strategies fail to reach.
This playbook explores a practical framework for rethinking how employer benefit strategies support employees in the time between clinical encounters. It unpacks why most digital health investments fall short, what "care without proximity" looks like when it actually works, and how forward-thinking employers are shifting from episodic coverage models to continuous, outcomes-driven support.
Inside you'll learn:
- Why the biggest cost drivers in chronic conditions happen outside the clinical setting
- How to move from static eligibility-based programs to adaptive, behavior-informed pathways
- What emerging real-world evidence reveals about sustaining outcomes – even after treatment changes
- Design principles that help close the gap between what employers fund and what actually happens so you can win the moments between care