The Prevention Perspective
Research and insights to help benefits leaders build workforces that stay well
Why employees don’t use preventive care — and what employers can change
70% of working-age adults with insurance aren’t using their annual preventive benefits—despite being covered at 100%. The barriers aren’t awareness. They’re access, fragmentation, and benefit inconsistencies that surprise employees with unexpected costs.

The Executive Take: Greg Mansur, CEO
Here’s a number that should make every benefits leader uncomfortable: When carrier reports say your adult preventive care engagement is “average,” that means about 30% of your employees are using a benefit that costs them nothing.
The other 70%? They’re not lazy. They’re stuck in friction points: 21-day wait times for a physical, fragmented screening experiences, and billing surprises that undermine trust in a benefit that’s supposed to be free.
The employers making real progress aren’t just communicating harder. They’re re-engineering the experience.
Why employees don’t use preventive care — and what employers can change
70% of working-age adults with insurance aren’t using their annual preventive benefits—despite being covered at 100%. The barriers aren’t awareness. They’re access, fragmentation, and benefit inconsistencies that surprise employees with unexpected costs.
The adult prevention gap: why 70% of workers skip the care that saves the most money
Preventive care utilization collapses the moment adulthood begins—dropping from 86% in childhood to as low as 18% for young adult men. For employers, this means the majority of their workforce is skipping the single most cost-effective intervention in the healthcare system. Making care “free” hasn’t fixed it. Understanding why is the first step toward a different approach.
Benefit abrasion is quietly undermining your preventive care strategy
The claims payment infrastructure of modern health plans has created a hidden economic penalty for the employees with the highest clinical risk—the exact people your preventive care investment is designed to help. Understanding the mechanics of “benefit abrasion” reveals why traditional plan designs can’t fully deliver on the promise of free prevention.
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The CFO case for prevention: how one metric tells the whole story
Medical trend—the year-over-year change in per-employee healthcare costs—is the single metric that determines whether your benefits program is becoming more or less expensive over time. For a CFO, it’s a cost trajectory strategy that reshapes the conversation about preventive care.
Are you overlooking a costly patient experience problem in your primary care benefits?
With primary care practices receiving an average NPS of -1.2, employers have good reason to believe their people are having poor experiences with their PCPs—and that could be costing employers millions.
How to prove your preventive care program is actually working
Most employers can’t answer the most important question about their preventive benefits: “Is this actually lowering our costs?” The Triple Aim framework is a defensible method for measuring the impact of preventive care—and making the case to the CFO.
Get ahead of your workforce health risks
Give your employees and your business the strategic advantage of engaged prevention. Meet with an EHE benefits advisor to get a custom ROI analysis.






