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Employers are designing benefit packages that accommodate aging employees who are staying in the workforce longer.


Over the past several decades, employees have increasingly stayed in the workforce later in life. Today’s average age of retirement is 61, up from 57 in 1991.1 This is often attributed to longer life expectancy and decreasing financial security.1

Today’s workforce is truly multigenerational, with Baby Boomers, Generation X (Gen X) and Millennials currently making up 93% of U.S. employees.2 By 2030, all Baby Boomers will be 65 years or older — and while some may still be working, the majority of the remaining workforce will be Millennials.

Despite being recognized as one of the smallest generations overall, Gen Xers make up 35% of employees and will be 50 to 65 years old in 2030.

Here are 5 considerations employers should keep in mind to accommodate an aging workforce when designing their health benefit strategies:

A generational and geographical breakdown

Baby Boomers, born 1946-1964, make up 16% of the workforce2

Generation X, born 1965–1980, make up 35% of the workforce2

Millennials, born 1981-1996, make up 42% of the workforce2

Generation Z, born 1997-2012, make up 7% of the workforce2

Did you know? 55M Americans are age 65 or older, and half live in these 10 states: California, Florida, Georgia, Illinois, Michigan, New York, North Carolina, Ohio, Pennsylvania and Texas3

1. Providing care management programs to address the increased risk of chronic and complex conditions

95%

of adults age 60+ have at least 1 chronic condition4

Many health issues can disproportionately affect older adults, including chronic disease. In fact, nearly 95% of adults age 60 and older have at least 1 chronic condition, and 80% have 2 or more.4 These diseases can be costly for employers, with cancer and neoplasms, musculoskeletal conditions and circulatory disorders among the top 3 health care cost drivers for employers.5

Additionally, the risk of developing metabolic conditions, such as hypertension, obesity and diabetes, was found to increase 51% for adults aged 40 to 45.6 Since most Millennials will enter these years soon if they haven’t already, it’s critical for employers to proactively help their employees prevent and manage these types of conditions.

51%

increased risk of developing a metabolic condition in adults aged 40–456

Designing a plan with strong care management and clinical programs can help employees get the care they need while managing costs.

For example, the Cancer Support Program from UnitedHealthcare takes a thorough approach to helping employees manage cancer. Members are assigned an oncology nurse as their primary contact for a broader care team, which can include medical directors and social workers experienced with oncology treatments and specialty pharmacies. This team approach can help employees access quality, lower-cost sites of care. Having a broader picture may also help proactively close gaps in care and lead to better outcomes.

2. Ensuring behavioral health benefits are designed to help employees in different life stages

Another area of concern is the increased need for behavioral health care services. As employees age, experiences during different life stages can impact mental health, such as developing a serious or chronic disease, navigating menopause or losing a loved one.

When an employee is experiencing poor mental health, the impact isn’t contained to their personal sphere. It may lead to increased absenteeism, reduced productivity and possibly lower employee morale as co-workers take notice.7

Employers should include benefits that offer a variety of access points and support that works to guide employees to the appropriate level of care. For example, without guided navigation, an employee experiencing anxiety may seek out a therapist when a low-acuity resource, such as a behavioral coach, could produce a similar outcome at no additional cost to the employee.

Behavioral health benefits can combine a variety of different solutions, including digital tools, such as the UnitedHealthcare® app and Calm Health, a self-care app with guided programs and resources to help build life skills and better cope with stressors. Benefits may also include an advocacy component to help employees navigate their benefits and get the appropriate level of support.

3. Offering benefits that address broader women’s health needs

In order to attract and retain top talent, employer-sponsored plans need to provide benefits that support women throughout all of life’s stages.

“It’s important for employers to better understand the full health care journey of their women employees,” explains Stephanie Fehr, chief people officer for UnitedHealthcare. “Because, once they understand what support is needed at every step of that journey, they will be better equipped to design a health benefits strategy that supports those employees and helps guide them on a path to better health.”

51 years old

average age a woman begins menopause, with some experiencing symptoms starting in their early 40s9

For instance, women have a higher risk of being diagnosed with certain conditions, such as thyroid disorders and cancer.8 Additionally, women typically experience the symptoms of menopause — hot flashes, mood changes, difficulty sleeping and more — in their 40s or 50s,9 often spanning 7 to 14 years.10 Without support, women employees experiencing these symptoms may have more sick days and lowered productivity.9

As such, employers may want to consider a carrier that understands women’s health and offers care options to support their needs. To help meet those needs, UnitedHealthcare works with Maven, a comprehensive solution that delivers end-to-end support related to women’s health. Maven’s care model is designed to help improve health outcomes with a goal of lowering costs.

This option is available through the UHC Hub™ , a curated network of vendors that complement UnitedHealthcare solutions, allowing employers to choose from a variety of vendors to customize their suite of health care offerings.

4. Supporting the “Sandwich Generation” as they balance caring for their children and parents

The “Sandwich Generation,” which refers to adults in their 30s to 50s who care for their parents and children, has its own unique health care needs. Spanning both the Gen X and Millennial generations, the emergence of the “Sandwich Generation” is due in part to longer life expectancies from improved working conditions, the reduction in smoking rates and improved health care.11

In fact, 78% of Millennials and 74% of Gen Xers identify themselves as caregivers.12 This dual caregiving responsibility has the potential to lead to increased stress, reduced time for self-care, financial strain and conflicts between work and family obligations. Employers who recognize and support employees in this situation may help foster a more inclusive and supportive work environment.

There are several ways employers can support caregivers, starting with more flexible work schedules to accommodate their children’s school and after-school activities or for taking parents to medical appointments.

From a benefits standpoint, offering financial wellness resources may help relieve the dual financial strain of raising children and ensuring parents have what they need. These resources can include 1-on-1 coaching, budget and cash management tools and financial education sessions.

“Financial stress and economic hardships impact the overall health and well-being of employees,” explains Tom Wiffler, chief executive officer for UnitedHealthcare Specialty Benefits. “Employers that include financial wellness programs in their health plan demonstrate a commitment to achieving whole-person health.”

Childcare and eldercare benefits can also provide employees with valuable information and resources to help them navigate the challenges of finding care for an aging parent or a child. For instance, Cleo is a health care services provider that supports all stages of family life through a digital platform that is backed by health experts and care specialists. At UnitedHealthcare, this resource and others are available through the UHC Hub.

“Financial stress and economic hardships impact the overall health and well-being of employees. Employers that include financial wellness programs in their health plan demonstrate a commitment to achieving whole-person health.”

— Tom Wiffler, Chief Executive Officer, UnitedHealthcare Specialty Benefits

5. Promoting employee well-being to help people live longer, healthier lives

Employers who focus on a whole-person health approach can give employees the added advantage of prevention and overall well-being. No matter the age of an employee, benefits that offer $0 or low-cost preventive care and wellness visits can help identify potential health issues.

Employers can also offer wellness programs that encourage healthy living, such as fitness classes, nutrition counseling and smoking cessation programs to help prevent chronic diseases with risk factors tied to eating habits, physical activity levels and substance use.

Many of these programs are designed as reward-based programs that offer cash, premium discounts and even points for purchasing goods and services.

Challenges and opportunities

The aging U.S. workforce presents both challenges and opportunities for employers. By understanding the changing demographics and needs of each generation, employers can take a thoughtful approach to developing a benefits package that works to attract, retain and support a more productive and diverse workforce.

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