Although employers continue to enhance their health benefits, with most planning to maintain or increase digital health offerings, employees are increasingly navigating health on their own terms.
“People want to choose what works for them, and the data is clear: Employees aren’t disengaged because they don’t care; instead, it’s because benefits are too hard to navigate,” said Jonathan Porter, CEO of Castlight Health. “Without clear guidance when they need it, employees default to what they know, and they’re willing to spend their own money to do it.
“Employers don’t need to offer more point solutions. They need a better way to guide people to the right support at the right moment. When benefits feel intuitive, flexible and connected to everyday life, employees will use them and employers realize gains on engagement, outcomes and retention.”
See also: 3 tips to improve healthcare communication
Leading employee benefits trends
Several trends emerged from the company’s 2026 Employer Benefits Report.
Limited engagement with employer benefits: Despite their continued expansion of health benefits and wellbeing offerings, most employers continue to face a stubborn reality: Access does not equal engagement. Employees report broad availability of benefits, yet only a fraction meaningfully use them, and many are opting out entirely. This gap between availability and utilization is consistent, measurable and widening.
The rise of DIY benefits: As employer benefits become more complex—and often harder to navigate—employees increasingly are taking matters into their own hands. Instead of relying solely on employer-sponsored programs, they are assembling personalized “health stacks” made up of apps, devices, online resources and community recommendations.
Increased out-of-pocket spending on health apps: As employees increasingly turn to consumer solutions to fill gaps in their employer-sponsored benefits, nearly half report paying out of pocket for at least one health or wellness app. This signals a growing willingness to personally invest in tools that meet their individual needs, offer convenience and deliver immediate value.
The hidden-risk population: Most employees believe they are healthy, yet beneath this confidence lies a quieter, more consequential reality. Many of these “healthy” employees are not engaged with the healthcare system and are truly unaware of their wellbeing. Because they do not take advantage of regular doctor visits and preventive care, they may be carrying risks that remain invisible until they become costly and disruptive.
Failure to evolve: Despite employers’ growing investment in health and wellbeing programs, many employees believe their benefits are not able to keep up with the realities of their lives. This perception of stagnation is a major barrier to engagement and a signal that traditional benefits models are out of sync with how people actually experience health.
“The path forward is clear: Evolve now or risk being left behind,” the report concluded. “Companies that reimagine their benefits strategy for this new era will not only improve workforce wellbeing and reduce long-term healthcare costs, but also strengthen satisfaction, loyalty and retention across a diverse and rapidly changing workforce.”
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