2024 Benefits Survey of Hospitals

2024 Benefits Survey of Hospitals

2024 Benefits Survey of Hospitals

Our Survey

Now in its nineteenth year, the Benefits Survey of Hospitals provides crucial benchmarking and trend information that hospital executives need to offer a more attractive benefits package and manage their employer-sponsored health plans.

This year’s survey highlights strategic benefits and wellbeing priorities and tactics in response to increasing healthcare costs and shifting workforce expectations.

The 2024 survey covers the entire United States and provides key findings for:

  • 157

    health systems

  • 1,500

    hospitals

  • 3.3M+

    employees

Key Areas of Concern

  • Health system employers continue to find ways to adapt and be nimble in this challenging environment.
  • The need to support access to mental health has remained the top priority for health systems in 2024. 
  • It is clear that employees’ health and wellbeing is a priority— and certainly an important strategy to retain talent and ensure that employees thrive, in the workplace and out. 
  • The need to manage costs continues to increase as a priority as health systems feel financial pressure in all aspects from operational to labor costs, exacerbated by inflation. Managing rising costs for medical and pharmacy benefits are top of mind for health system employers, with increased incidence of high-cost claimants, gene cell therapies and GLP-1 medications, along with increasing prevalence of chronic and complex conditions.
  • To the same degree, health systems are prioritizing and concerned with providing a competitive total rewards package to attract and retain talent. These two priorities are equally important, and must be approached strategically to provide a balance of cost and value.
  • Notably, recent increased litigation with employer sponsored health plans has resulted in a jump in priority to monitor ERISA fiduciary requirements more closely, a unique situation for health systems as both Plan Sponsor and provider.
Benefits Survey

Topics Covered in the Report

The report further illuminates how health systems are addressing these areas:

  • Health plan concerns, strategy, and governance
  • Strategies to manage rising medical and pharmacy benefits costs
  • Benefits offered to attract and retain talent
  • Changes implemented to address workforce challenges (in benefits, time off, compensation, and remote/hybrid work)
  • Health plan cost sharing and affordability tactics
  • Strategies to drive domestic utilization
  • Benefits modification to support Diversity, Equity, Inclusion and Belonging
  • Strategies to address employee burnout
  • Wellbeing strategy and programs
  • Plan costs (national and regional breakout available)
  • Medical and pharmacy plan design and employee contributions (national and regional breakout available)
  • Employee cost share differentials between domestic, in-network (non-domestic) and out-of-network tiers; and in-house and external pharmacy
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