The SHRM Annual Conference lands in Orlando this June with a clear message running through its sessions: the employers who treat benefits as a strategic asset, not an annual line-item exercise, are outperforming their peers on both cost and talent retention. That gap is real, and it’s widening.
According to KFF’s 2025 Employer Health Benefits Survey, 92% of employees say benefits are important to their overall job satisfaction. At the same time, employer health costs are expected to rise nearly 10% in 2026. The employers managing both sides of that equation well aren’t doing more, they’re doing things differently. Here are five approaches that are making a measurable difference.
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They Know Their Claims Story Before Renewal Season Starts
High-performing employers don’t wait for the carrier to hand them a renewal number. They’re already working with their broker on a data analytics and benchmarking review three to five months out. That means understanding which claimant segments are driving cost, how their plan performs relative to peer benchmarks, and whether current plan design is creating any avoidable utilization. Walking into renewal with that context changes the entire negotiation dynamic.
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They’ve Rethought Pharmacy Management as a Stand-Alone Strategy
Pharmacy management used to be a background item. In 2026, it’s front and center. Leading employers are scrutinizing PBM contracts, reviewing rebate transparency, and putting clinical management criteria in place for high-cost specialty drugs. Pharmacy management strategy also includes exploring formulary alternatives and manufacturer programs that reduce plan cost without shifting the burden to employees. This isn’t just a large-employer play — mid-size employers on self-funded or level-funded plans have more leverage here than many realize.

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They’re Adding Voluntary Benefits That Employees Actually Value
The voluntary benefits landscape has evolved considerably. Critical illness, accident, and hospital indemnity coverage are now among the most requested supplemental benefits by employees, especially in workforces with higher deductible exposure. Smart employers are using voluntary stacking to add genuine financial protection for employees at little to no direct cost to the company. The result is a richer benefits package that supports recruitment and retention without adding to the core plan premium.
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They’re Taking Behavioral Health Seriously as a Benefits Design Priority
The Business Group on Health’s 2026 Employer Survey flagged higher utilization of mental and behavioral health services as one of the top cost drivers this year. The employers ahead of the curve are investing in better EAP access, telehealth mental health integration, and wellness and population health management programs that address behavioral health upstream before it becomes a high-cost claim. In a tight labor market, access to meaningful mental health support is a differentiator.
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They’re Aligning Benefits Strategy with Their Business Growth Plans
Employers planning to hire significantly, expand to new locations, or shift workforce composition in the next 12 to 18 months often find that their current benefits structure wasn’t designed for where they’re going. High-performing employers work with their broker on a forward-looking employee benefits strategy that aligns plan design with hiring goals, budget trajectory, and workforce demographics, not just where they are today.
Benefits aren’t a commodity. In 2026, the employers who treat them that way are feeling it in both their renewal numbers and their recruiting pipelines. The ones treating benefits as a strategic conversation are getting better outcomes on both fronts.
Ready to build a benefits strategy that works harder for your business? The team at Tooher-Ferraris has been helping businesses design smarter benefit programs since 1932. Contact us today to schedule a no-obligation consultation.
External Sources: KFF Employer Health Benefits Survey | SHRM Annual Conference 2026





