The Prevention Perspective
Research and insights to help benefits leaders build workforces that stay well
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The Executive Take: Greg Mansur, CEO
Your benefits handbook probably says preventive care is covered at 100%. It’s the law of the land, right? Research has found that 21–61% of employees experience cost sharing for services that are supposed to be covered at 100%—flu vaccines, mammograms, colonoscopies, even their annual wellness visit.
The worst part: The patients most likely to get billed are the ones with existing conditions or family history. In other words, those who need preventive care the most are getting penalized for showing up.
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.
The prevention gap is bigger than you think – and it could be costing your company millions
If you manage health benefits for a large employer, you already know the broad strokes: healthcare...
Why 70% of your employees skip a free benefit – and how to fix it
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.
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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.
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.
Your doctor needs 26 hours a day: why primary care can’t deliver prevention on its own
Primary care physicians are structurally unable deliver adequate preventive care—not because they lack skill or intent, but because the economic model and patient volume demands leave no room for it. Understanding this reality is essential for deciding how to invest in workforce healthcare.
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.