Health systems carry the same benefits burden as every other large employer (rising claims, fragmented point solutions, low engagement). But there's a second cost most benefits leaders aren't tracking: every time an employee goes out-of-network for care, the system loses twice. For health systems benefit leaders, however, there's an opposite side advantage that no other type of employer has access to.
Most navigation strategies were never built to capture this. They're designed to steer employees toward in-network care but not toward care that's "in-system".
This guide breaks down what that advantage actually looks like in practice including a real-world example of a health system that used it to recover seven figures in cost while lowering its own benefits trend.
What you'll learn:
- Five questions to assess whether your current program is capturing this advantage
- How to think about benefits navigation as a revenue lever, not just a cost lever
- A real health system outcome: measurable savings and recovered network revenue