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Podcast Episode

Rising Healthcare Costs and Employee Benefits Strategy

Totally Rewarding Chats··14 October 2026·50 min

About this episode

Healthcare costs keep rising, and employers have to decide who pays for it and what gets cut. This conversation looks at what is driving benefits costs right now, including specialty medications and GLP-1s. It covers how cost sharing affects the value of merit increases and why employees have trouble comparing benefits with salary. It also covers why total rewards statements can backfire when pay transparency is in place, and what employers can do to control spending without losing value. You will hear practical ideas: review underused benefits every year, use payroll data to see what employees actually use, and set different contribution levels for spouses and dependents. The episode also explains how lifestyle spending accounts work and why benchmarking is the best place to start a program review. Chapters 08:03 – Top benefits trends driven by rising healthcare costs 10:16 – Why the GLP-1 coverage debate is different now 13:16 – Employer versus employee cost sharing and merit increases 15:23 – Why employees struggle to connect benefits and pay 18:21 – Total rewards statements and pay transparency fairness 25:02 – Using company culture to explain benefit cost sharing 29:38 – Practical steps to control benefits costs 33:25 – Spouse coverage, wellness incentives, and cost caps 37:12 – How lifestyle spending accounts work 40:16 – Where to start when reviewing a benefits program