Rising healthcare costs and complexity are creating barriers for both employers and employees, from underutilized benefits to missed preventive care. Learn how care navigation can drive better outcomes, smarter decisions, and cost savings in 2025.
The healthcare system is full of obstacles that frustrate employees and create inefficiencies for employers. With healthcare costs set to rise by 6% in 2025 and growing complexity compounding the challenge, maximizing the value of your benefits offerings has never been harder. From underutilized benefits to rising out-of-pocket expenses, these obstacles hold your team back and prevent you from reaching your goals.
The good news? You can leave these hurdles behind. Care navigation streamlines the healthcare experience, empowering employees to make smarter decisions, access the right care, and fully utilize their benefits. Let’s explore the challenges holding your team back and how care navigation can help you overcome them in 2025.
Although employers invest significant effort and funds into designing robust benefits offerings for their workforce, 80% of employees utilize just one or two options. Activating healthcare benefits is crucial for maximizing their value and ensuring employees' well-being.
Care navigation solutions like Rightway help drive benefits utilization by:
Unifying benefits in a single, user-friendly platform: Makes it effortless for employees to access, understand, and use their healthcare options in one centralized hub.
Providing clear, actionable guidance on benefits: Breaks down complex information into straightforward recommendations tailored to employees’ specific needs.
Boosting engagement through personalized outreach: Ensures employees are aware of and actively using programs that match their health goals and life circumstances.
Nearly 50% of employees are unsure of where to go when they have a healthcare need, resulting in misdirected care. Unnecessary emergency room, hospital, and intensive care unit utilization contribute to an enormous amount of wasteful spending.
Care navigation eliminates the guesswork, guiding employees to the right care at the right time by:
Offering clear guidance for every care decision: Ensures employees know exactly where to go and what steps to take, reducing uncertainty and stress.
Providing seamless scheduling support: Connects employees to high-value care quickly and efficiently, saving valuable time.
Delivering cost transparency upfront: Helps employees make informed choices by clearly outlining costs and coverage before care.
More than 88% of employers believe they care about their employees’ well-being, but only 66% of employees agree. Generic, one-size-fits-all solutions fail to address the unique needs of your team, like chronic illnesses or fertility needs, leaving employees feeling unsupported
Care navigation solutions like Rightway ensure a better experience by:
Tailoring care navigation to individual needs: Delivers personalized support that aligns with each employee's unique health journey and circumstances.
Providing one-on-one guidance: Ensures employees have expert support for navigating complex healthcare decisions.
Empowering employees with proactive education: Offers timely, condition-specific information to help employees make confident, informed healthcare choices.
Preventive care is essential for long-term health, yet three out of five employees avoided critical health screenings this year—a 20% increase from 2023. Skipping preventive measures leads to higher healthcare costs and worse outcomes when conditions go undetected and become more serious.
Care navigation ensures your team stays on top of their preventive care by:
Providing proactive reminders and outreach: Sends timely notifications for annual check-ups, vaccinations, and screenings to keep employees on track with routine care.
Identifying care gaps with advanced analytics: Pinpoints employees at risk of missing preventive care or chronic condition follow-ups, enabling focused and effective support.
Delivering personalized preventive care education: Equips employees with clear, actionable information on the importance of preventive care and how to access covered services.
Step into 2025 with confidence, leaving behind the unnecessary obstacles that complicate healthcare and frustrate your team. With Rightway’s clinical care navigation platform, you can turn benefits confusion into clarity, healthcare challenges into seamless solutions, and rising costs into measurable savings. Our personalized, human-first approach meets every employee where they are, guiding them to better care, smarter decisions, and greater outcomes.
Learn more about our care navigation and PBM solutions.
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