Q&A: BMO's Melissa Dal Vecchio outlines 3 key benefit trends

  • Key insight: Here's why employers are shifting from enrollment-focused communications to year-round engagement.
  • What's at stake: Employers struggling to maintain employee trust while managing rising healthcare and pharmacy costs.
  • Forward look: Get ready for AI-powered tools to influence healthcare utilization and provider billing.

Affordability issues, changing employee-experience needs, and the need to improve benefits literacy are just a few of the major concerns Melissa Dal Vecchio, senior manager of health and welfare benefits at BMO, finds on her plate.

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The 2026 Excellence in Benefits winner shared her thoughts on these challenges, along with her plans for open enrollment, strategy for AI, and other industry predictions with Employee Benefit News. This interview has been edited for length and clarity.

Melissa Dal Vecchio.jpg
Melissa Dal Vecchio
JNPortraits

What would you identify as the biggest trends in HR/benefits right now?

I would identify three major trends shaping the HR and benefits landscape today: rising healthcare costs, increasing demand for personalized employee experiences, and a growing focus on benefits literacy.

As healthcare and pharmacy costs continue to rise, employers are challenged to balance affordability and long-term sustainability while maintaining competitive benefits that support employee well-being. At the same time, employees' expectations are being shaped by increasingly sophisticated, tech-enabled customer journeys in their personal lives. They now expect something similar from their benefits: experiences that are personalized, intuitive and easy to navigate, with convenient access to information, tools and resources that help them make informed healthcare and financial decisions.

We're also seeing greater emphasis on benefits education. As the healthcare system becomes increasingly complex, employees are being asked to make important health and financial decisions, yet many lack the knowledge or confidence to fully utilize the resources available to them. As a result, I'm seeing a shift from enrollment-focused communications to year-round engagement strategies that leverage personalized education, decision-support tools, and targeted outreach.

What are the biggest challenges you currently face in your role? And challenges/concerns for the industry as a whole?

The biggest challenge continues to be balancing financial stewardship while maintaining a benefits experience that employees trust and value. Employers are navigating unprecedented healthcare and pharmacy cost pressures while striving to provide benefits that attract, retain and support a diverse workforce. Striking the right balance among cost management, affordability and a positive employee experience remains one of the most persistent challenges facing benefits leaders today.

Another significant challenge is the growing complexity of the healthcare and benefits landscape. As healthcare options, programs, and resources continue to expand, employees often struggle to understand their choices, navigate the system, and fully utilize the benefits available to them. Even the most comprehensive benefits package can fall short if employees do not understand how to access care, evaluate options, or recognize the value of the resources being offered. As benefits professionals, our role is to bridge that gap by simplifying the experience through clear communication, meaningful education, intuitive tools, and ongoing engagement that empowers employees to make informed decisions.

What, if any, is your strategy in facing/meeting those challenges?

My approach centers on three pillars: data, employee experience, and strategic partnerships. First, we use data and insights to guide decision-making, identify opportunities, and ensure our investments are meeting both employee and business needs.

Second, we prioritize the employee experience by simplifying communications and creating education opportunities that help employees make informed decisions. One example is our Be Ready Education Series, which was designed to improve benefits knowledge and confidence during annual enrollment and beyond.

Finally, strong partnerships with our vendors and internal stakeholders are essential. By fostering collaboration and maintaining a focus on continuous improvement, we can develop solutions that enhance employee outcomes while supporting long-term sustainability.

What are the biggest opportunities in the industry?

One of the greatest opportunities for benefits leaders is empowering employees to become knowledgeable and engaged healthcare consumers. As healthcare costs continue to rise, employees need greater support in understanding their options, comparing costs, and making informed decisions about their care.

By investing in year-round education, personalized communications, and decision-support tools, employers can empower employees to better understand their options, maximize savings, and make informed decisions that support both their physical and financial well-being. Today's workforce expects the same level of simplicity, personalization and convenience from their benefits experience as they do from other consumer experiences. At the same time, advancements in technology, data analytics and digital tools are creating new opportunities to deliver more tailored, proactive, and meaningful benefits experiences that improve engagement, drive better outcomes, and help employees derive greater value from their benefits.

What else is on your radar, looking ahead, that you are paying attention to and you think your peers should be as well?

The continued growth of specialty pharmacy remains high on my radar. Advances in treatment are creating breakthrough opportunities to improve patient outcomes, particularly for individuals with complex and chronic conditions, but they are also reshaping the economics of employer-sponsored health plans as specialty therapies become an increasingly significant driver of healthcare spending.

Another area I'm paying particularly close attention to is the expanding role of artificial intelligence across the healthcare ecosystem. AI has tremendous potential to improve clinical decision-making, accelerate diagnoses, enhance care navigation, and increase efficiency across the healthcare system by reducing administrative burden.

However, AI adoption also introduces emerging considerations that employers should monitor closely. As AI-powered tools become increasingly integrated into documentation, coding and care delivery, they have the potential to influence healthcare utilization patterns, provider billing practices, and overall healthcare spending. Benefits leaders will need to understand not only the opportunities these technologies present, but also their potential impact on plan costs, affordability, and long-term sustainability.

What is one big goal you have for open enrollment this year, and how do you plan to achieve it?

My primary goal for open enrollment this year is to further increase employee understanding, engagement, and confidence in their benefits decisions. Last year, we launched a comprehensive education series designed to raise awareness of our benefits programs and highlight valuable resources that are often underutilized or not widely known. The positive response reinforced the importance of ongoing benefits education beyond the enrollment period.

This year, we are building on that foundation with a greater focus on helping employees become informed healthcare consumers and understand that benefits are a shared responsibility. As healthcare costs continue to rise, it's more important than ever that employees have the knowledge and tools needed to make thoughtful decisions for themselves and their families.

Our strategy includes practical, actionable education on topics such as understanding explanation of benefits (EOB) statements, comparing medical plan options, evaluating healthcare costs, and identifying opportunities to maximize savings. We also plan to spotlight valuable but often overlooked resources available through our plans, helping employees better navigate the healthcare system and take full advantage of the support available to them.

What are you most looking forward to at Benefits at Work?

I always value the opportunity to learn from peers and industry experts who are navigating many of the same challenges and opportunities.

I'm particularly interested in discussions around healthcare cost management, employee engagement, and innovative approaches to engage with benefits. The opportunity to exchange ideas, share best practices, and gain new perspectives is incredibly valuable and often sparks ideas that can be applied directly within our own organization.

Overall, I look forward to connecting with fellow benefits leaders and learning how we can continue evolving our programs to better serve employees while supporting business objectives.


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Workforce management Employee benefits Health and wellness Excellence in Benefits 2026
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