I went to the Society for Human Resource Managementâs annual conference in Las Vegas this past week with one very specific goal: Get a feel for what HR professionals are excited and worried about in the benefits space, especially regarding health care and the 2020 election.
Tracy Watts, senior partner at Mercer, began here health care presentation with her âfavorite quote from the presidentâ: “Nobody knew health care could be so complicated.”

This obviously got a lot of laughs from the audience of HR professionals.
Wattsâ main message to employers in the course of her session was that employers, who insure 54 percent of the American population, have a vital role in helping to shape the future of the countryâs health care. She cited that employers collectively spend about $668 billion annually on health benefits to cover employees and their dependents. â[Employers] have a bigger stake in this than anybody,â she said.
She also listed the health-related issues that different governing bodies can address and the ones that theyâve already begun to address. For example, the Trump administration has the ability to address HSA guidance, mental health parity, drug prices, HRA guidance and ACA Section 1557 nondiscrimination, and itâs currently addressing the latter three. Meanwhile, Congress has the ability to address the Affordable Care Act employer mandate, HSA reforms, drug prices, the ACA Cadillac tax and out-of-network âsurpriseâ medial bills, and itâs currently addressing the latter three.
My question for employers: What power do you have to impact the health care environment? How are you currently utilizing that power? Where is there still room for improvement?
This session also gave me the opportunity to overhear gossip from the audience about the latest developments in the benefits space. For example, a major piece of health care-related breaking news had just happened in the past 24 hours: President Donald Trump announced his âExecutive Order on Improving Price and Quality Transparency in American Healthcare to Put Patients First.â.
Meanwhile, more major changes were happening on the state level. California had just voted to reintroduce the individual mandate for health insurance. Also, a few women around me were expressing frustration about how difficult it is to keep up with whatâs happening on the state level in the paid sick leave and paid family leave areas. They expressed exhaustion at dealing with âthe nuance of state laws.â
Overall, the 2019 conference meant many HR folk were feeling confused and overwhelmed by the massive regulatory changes happening (or likely to happen) in the benefits space.
Also watch: Tracy Watts on the Executive Order and its Implications for Employers:
More 2019 SHRM Conference Coverage:
BrenĂ© Brown at SHRM Conference: âLeaders Are Never Quiet About Hard Thingsâ
Exclusive Video Interviews from the 2019 SHRM Conference
The State of #SHRM19 Speech: Wait Until Monday
Day 2 at #SHRM19: Itâs All About the Underutilized Talent Pool
SHRM Releases Annual Benefits Survey
Gary Kusher on Workplace Health Care Issues and the 2020 Election



On the employer side, EAP providers are offering more data and analytics to help them understand whether these programs are being used, and what impact they may have on the business. âHaving access to meaningful data allows employers to tailor their programs to the needs of the workforce,â Veder said. It isnât just about gauging whether employees use these services. Good metrics also help them understand what intervention types are most appealing and how their use breaks down among employee groups. âA lot of people want to take ownership of their care, while others respond better to human interventions,â she said.

