Daily Industry Report - December 5

Your summary of the Voluntary and Healthcare Industry’s most relevant and breaking news; brought to you by the Health & Voluntary Benefits Association®

Jake Velie, CPT
Vice Chairman & President
Health & Voluntary Benefits Association® (HVBA)
Editor-In-Chief
Daily Industry Report (DIR)

Robert S. Shestack, CCSS, CVBS, CFF
Chairman & CEO
Health & Voluntary Benefits Association® (HVBA)
Publisher
Daily Industry Report (DIR)

NYPD: 'Every indication' that shooting of UnitedHealthcare CEO was targeted, premeditated

By Paige Minemyer - The New York Police Department confirmed late Wednesday morning that UnitedHealthcare CEO Brian Thompson had been shot and killed in Manhattan earlier that day ahead of the company's annual investor conference. Read Full Article…

HVBA Article Summary

  1. Targeted and Premeditated Attack: NYPD officials, including Commissioner Jessica Tisch, stated that the shooting of UnitedHealthcare CEO Brian Thompson was a premeditated and targeted attack. Evidence shows the shooter waited for several minutes, allowing multiple pedestrians to pass before approaching Thompson from behind and opening fire. The suspect, described as a light-skinned man with a distinctive gray backpack, fled the scene on foot and later on a bicycle.

  2. Timeline and Investigation Details: Police responded to the scene within two minutes of the incident at 6:46 a.m., finding Thompson with gunshot wounds to the back and leg. Despite being transported to the hospital, he was pronounced dead at 7:12 a.m. Investigators recovered a cellphone from a nearby alley and are analyzing it for potential connections to the shooting. Interviews with Thompson's associates and collaboration with Minnesota law enforcement are ongoing to determine any prior threats.

  3. Community Reactions and Industry Condolences: UnitedHealth Group and other healthcare organizations expressed their shock and grief over Thompson's death. CEO Andrew Witty prematurely ended the company's investor day, while other industry leaders highlighted Thompson's contributions to improving healthcare access and quality. The NYPD has offered a $10,000 reward for information leading to the apprehension of the shooter.

HVBA Poll Question - Please share your insight

Did you know there’s a way for clients to reduce their PTO liability at a discount, while giving employees flexibility to use extra time for retirement, loan payments, donations, and more?

Login or Subscribe to participate in polls.

Our last poll results are in!

46.74%

of Daily Industry Report readers who participated in our last polling question, when asked “What percentage of middle-market working Americans do you think would self-describe themselves as financially healthy?” responded with 15%. 

34.78% said they believe 30% of middle-market working Americans self-describe themselves as financially healthy while only 14.13% responded they believe it be 55% and 4.35% believe it to be 70%.

Answer: Stable is the new healthy, but a feeling lacking for most. Just 15% of working Americans self-describe their financial well-being as “healthy”. Rather, 51% consider themselves “stable”, while the other 31% say they are “challenged” and 3% say they are “unsure”. Source: MassMutual - The pathway to voluntary benefits success; Q2 2024 Report 

Have a poll question you’d like to suggest? Let us know!

Employer-sponsored vs. individual ACA exchange: Congressional watchdog compares health plans

By Allison Bell - People who buy their own individual health coverage may pay less than they would for employer plan coverage but get leaner benefits. Analysts at the U.S. Government Accountability Office published figures supporting that conclusion in a new report comparing Affordable Care Act public exchange plans with employer plan coverage. Read Full Article… (Subscription required)

HVBA Article Summary

  1. Cost Comparison Between Individual and Employer Plans: In 2022, individuals purchasing coverage through HealthCare.gov paid an average of $109 per month in premiums after applying ACA premium tax credits, while workers with employer-sponsored coverage paid an average of $150 per month for their share of premiums. However, deductibles and cost-sharing vary significantly, with exchange plans, particularly bronze and silver plans, often having higher out-of-pocket costs compared to employer plans.

  2. ACA's Impact on Health Insurance Accessibility: The Affordable Care Act (ACA), implemented in 2010, transformed the individual insurance market by prohibiting health-based underwriting and providing subsidies to reduce costs for low-income enrollees. This has made individual coverage more accessible, though questions remain about the adequacy of benefits and network breadth in ACA exchange plans.

  3. GAO Analysis on Coverage Differences: The GAO report, requested by Rep. Virginia Foxx, highlights the differences between individual exchange plans and employer-sponsored plans, emphasizing challenges in direct comparisons due to data variability. Exchange plans, categorized by metal levels (bronze, silver, gold), show varied coverage richness, with lower-cost options generally involving higher deductibles and limited networks. This divergence may influence the adoption of employer-sponsored individual coverage health reimbursement arrangements (ICHRAs).

Eli Lilly’s Zepbound Leads to Greater Weight Loss vs. Novo Nordisk Drug in Head-to-Head Test

By Frank Vinluan - The battle for market share between the two leaders in the booming obesity drug sector has a new data point decidedly in favor of Eli Lilly. The Lilly drug Zepbound has topped Novo Nordisk’s Wegovy in a head-to-head clinical trial. Read Full Article… 

HVBA Article Summary

  1. Superior Weight Loss Results: In a head-to-head Phase 3b study, Zepbound demonstrated 47% greater relative weight loss compared to Wegovy, with participants losing an average of 20.2% of their body weight versus 13.7% in the Wegovy group. Zepbound also outperformed Wegovy in secondary endpoints, with 31.6% of its participants achieving at least a 25% weight loss compared to 16.1% in the Wegovy cohort.

  2. Innovative Dual-Target Mechanism: Zepbound’s unique mechanism targets both GLP-1 and GIP receptors, unlike Wegovy, which only targets GLP-1. This dual approach likely contributes to Zepbound's enhanced efficacy, highlighting Lilly’s potential market advantage as competition in obesity treatment intensifies.

  3. Market and Development Implications: The strong clinical performance of Zepbound, coupled with its growing sales exceeding $3 billion in the first nine months of 2024, positions Lilly as a leader in the weight loss drug market. Furthermore, the company’s pipeline includes advanced therapies like retatrutide, which targets GLP-1, GIP, and glucagon receptors, showcasing Lilly’s commitment to innovation and maintaining a competitive edge.

Supercharge your workforce: How tailored employee benefits win over Gen Z

By Cheri Wheeler  - Attracting and retaining top talent in today's competitive job market has never been more challenging. A critical component of maintaining a skilled workforce is appealing to the newest generation entering the job market: Generation Z.  Read Full Article… (Subscription required)

HVBA Article Summary

  1. Understanding Generational Differences in the Workplace: Workplaces now host a multigenerational workforce, with four distinct generations — Baby Boomers, Gen X, Millennials, and Gen Z — each bringing unique values, priorities, and expectations. Recognizing these differences is essential for fostering collaboration and maintaining a productive work environment, especially as leadership often struggles to connect with Gen Z employees.

  2. Addressing Gen Z's Workplace Expectations: Gen Z prioritizes meaningful work, mental health support, work-life balance, and professional development. Benefits such as teletherapy, flexible work arrangements, and student loan repayment assistance resonate strongly with this generation. Employers must align their offerings with these preferences to attract and retain top Gen Z talent.

  3. Implementing Effective Benefits Strategies: Communicating and delivering benefits in a way that resonates across generations is critical. For Gen Z, leveraging digital platforms like mobile apps and online portals ensures effective engagement. Partnering with benefits consultants can help organizations tailor offerings and communication strategies, balancing generational needs and ensuring compliance.

Ohio State Study Confirms Value of Virtual Care in Suicide Prevention

By Eric Wicklund - Critics of telehealth have long said a virtual visit can’t replicate in-person treatment, especially for serious concerns like treatment of patients considering suicide. But a new study from The Ohio State University’s Wexner Medical Center and College of Medicine finds that virtual care is an effective platform. Read Full Article…

HVBA Article Summary

  1. Telehealth Therapy Reduces Suicide Attempts: The study conducted by Ohio State University’s Wexner Medical Center found that brief cognitive behavioral therapy (BCBT) delivered via telehealth reduced suicide attempts by 41% compared to in-person present-centered therapy (PCT). This highlights telehealth's potential as an effective treatment mode for addressing suicidal behavior.

  2. Expanded Access to Care: Virtual care provides an essential platform for delivering evidence-based treatments to individuals in rural or hard-to-reach areas, as well as those unable or unwilling to access in-person therapy. The pandemic-driven shift to telehealth demonstrated its feasibility and effectiveness even for high-risk populations previously excluded due to liability concerns.

  3. Evidence-Based Insights: The study, published in JAMA, emphasizes that the observed reduction in suicide attempts is likely due to BCBT’s focus on skills training to address emotional regulation and cognitive reappraisal. Using an active, evidence-based comparator rather than standard treatment bolsters the study's validity and reinforces telehealth as a credible treatment mode.

Congressional action on Medicare payments must occur this year

By Bruce A. Scott, MD - With the election behind us, it is critical that Congress tackle an issue that is jeopardizing access to care for tens of millions of patients and threatens the viability of our entire health system: Fixing our broken Medicare payment system. Read Full Article…

HVBA Article Summary

  1. Urgency for Reform Amidst Financial Pressures: Medicare payment reform is critical as physicians face a 29% payment reduction since 2001 while their costs have soared by 121%. The proposed 2.8% cut for 2025, combined with rising costs, exacerbates financial strain on practices, risking closures and diminished access to care for patients, particularly the elderly and disabled.

  2. Broad Implications of Medicare Cuts: Payment cuts not only threaten independent physician practices but also ripple through the healthcare system, affecting all practice settings. The linkage of private and Medicaid payments to Medicare rates magnifies the crisis, making inflation-based updates essential to maintain practice viability and patient access.

  3. Legislative Action as a Solution: The AMA and physician advocates are pushing for comprehensive Medicare reform, including halting the 2025 payment cut and implementing inflation-tied updates. The Medicare Patient Access and Practice Sustainability Act of 2024 offers a pivotal first step by proposing a 4.73% payment increase, aligning with rising care delivery costs and preserving access to high-quality care for vulnerable populations.

By Cheryl Swirnow - As we move toward 2025, benefits advisors and human resource leaders are confronted with a rapidly evolving landscape. In this era of unprecedented change, driven by advancements in technology, shifting demographics, and global economic uncertainties, the role of HR and benefits professionals will be more critical than ever before. Read Full Article… (Subscription required)

HVBA Article Summary

  1. Global Talent Strategies with Unified Culture: HR leaders must navigate the challenges of managing a globally dispersed workforce while fostering a cohesive culture. This involves respecting cultural differences, harmonizing diverse values, and leveraging tools like virtual team-building and cross-cultural training to create a sense of belonging. Benefits advisors play a critical role by offering tailored packages that address global workforce needs, including health benefits, tax considerations, and culturally aligned wellness programs.

  2. Balancing AI and Human Connection in HR: As AI becomes a cornerstone of HR operations, leaders must ensure that technology complements rather than replaces human interaction. While AI enhances efficiency in recruitment and performance management, HR must focus on upskilling employees and maintaining personalized, empathetic engagement. Benefits advisors should align AI-driven tools with human-centered approaches to ensure a seamless employee experience.

  3. Comprehensive Mental Health Strategies: Employee mental health requires a shift beyond traditional EAPs to more personalized, holistic support systems. HR professionals need to foster a culture of openness, offer tailored mental health resources, and train managers to address signs of burnout effectively. By integrating mental health into organizational priorities, benefits advisors and HR leaders can build a resilient workforce and promote well-being.