The time is now: Addressing health inequities in the workforce
Bruce W Sherman1,2, Brian Sils3, Kimberly Westrich3
1Department of Medicine, Case Western Reserve University School of Medicine, Cleveland, OH.
Journal of Managed Care & Specialty Pharmacy
|March 28, 2025
Summary
Employers can reduce health inequities for employees and families by using data to make benefits more equitable. They should also advocate for transparency and patient-centered care to improve health outcomes.
Area of Science:
- Health Services Research
- Health Equity Studies
- Occupational Health
Background:
- Employers are key health insurance providers for working Americans.
- Health inequities affect employees and their families, influenced by various stakeholders and systemic factors.
- Systemic factors include racism, bias, mistrust, health literacy, and access/affordability issues.
Purpose of the Study:
- To outline how employers can improve health equity for their workforce.
- To identify employer strategies for addressing inequities in health benefits and outcomes.
- To highlight the role of employers in advocating for systemic change.
Main Methods:
- Commentary and analysis of stakeholder roles in health inequities.
- Examination of employer-specific opportunities using data-driven approaches.
- Illustrative example focusing on prescription medication use inequities.
Main Results:
- Employers can enhance health equity through equitable benefit design (scope, access, affordability).
- Data-driven strategies can identify and address specific inequities, such as in medication use.
- Employers can advocate for transparency, patient-centered care, and performance incentives.
Conclusions:
- Employers have a significant opportunity to drive health equity for employees and families.
- Strategic employer action, including advocacy and benefit design, is crucial for reducing health disparities.
- Further research is needed to promote best practices in employer-led health equity initiatives.
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