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Nearly 9 in 10 employers, in fact, say they will make changes to their health and well-being vendors either this year or next, according to WTW’s 2022 Vendor Strategy Survey .

Even if the employer has not yet implemented nudge technology in their workplace, their third-party administrators, health insurance providers, wellness vendors and other vendors are likely using it, challenging total rewards professionals to stay ahead of the compliance issues and be aware of the potential negative impact on workplace culture.

Levin-Scherz said solutions include improved integration by seeking to consolidate vendors and simplify employer ecosystems, or by procuring point-solution vendors through health plans or pharmacy benefit managers.

A key part of those efforts involves markedly greater scrutiny of healthcare partners, vendors and providers.

For example, there will be a dominant vendor for the education industry and a different lead vendor for the healthcare industry.

Employers typically rely upon the medical and pharmacy benefits vendor to create formularies of drugs for coverage.

Measuremen t and Outcomes Evaluation Point Question Yes/No Medication adherence rate Does the vendor provide data on medication adherence for chronic diseases?

Relying on the vendors to help you identify how you should manage your SPM program can be risky, leading to situations where the vendor forces you to fit inside their system’s functional capabilities.

Employers can require timely aggregate reporting from every vendor, which should include care delivered and handoffs or interactions with other providers or vendors.

These employers are prioritizing: ;Changes to program subsidies;; ;Adoption of alternative plan designs;; ;Improving vendor or operational efficiency; and/or,; ;Utilization of more effective steerage or behavioral requirements.; Medical Conditions Spur Need for ‘Revolutionary Approach’ To address the rising impact of chronic conditions, employers generally cited the need to expand clinical programs, especially in areas such as cardiovascular health, musculoskeletal health, digestive health, obesity and oncology.