Expert Insight

3 ways employers can reduce disparities in obesity care

Over 40% of U.S. adults struggle with obesity, yet many lack essential care and support. Discover how employers can bridge critical gaps in obesity care with three strategic solutions.

Obesity affects over 40% of U.S. adults, yet many individuals lack the care, awareness, and support needed to manage their health effectively. A recent study by Novo Nordisk and Optum Life Sciences* analyzed data from 1.14 million overweight or obese members of commercial health plans, revealing critical gaps in employer-supported weight-management solutions. Here are three ways employers can address these disparities.

Key findings from the study

The study highlights several critical insights into the challenges facing individuals with obesity, including:

  • Nearly 13% of members were at high risk for unmet social needs, including food insecurity, transportation challenges, and housing instability. These risks intensify as body mass index (BMI) increases, creating a vicious cycle where obesity exacerbates social challenges, and social challenges hinder access to care.
  • Over 50% of members were not actively engaged in managing their health, often due to limited access to care, low health literacy, or a lack of personalized support. Individuals with low health ownership are less likely to seek medical advice, follow through on treatments, or participate in available health programs.
50%+
Percentage of members not actively engaged in managing their health
  • Half of individuals with obesity experience at least one related condition — such as type 2 diabetes, hypertension, or high cholesterol — highlighting the need for early, proactive interventions to manage obesity directly before complications arise.
  • Although 32% of U.S. employers offer weight management programs, only 13% of employees are aware of these options, and fewer than 10% participate. Lack of communication and outreach contributes to low engagement, and participation rates vary widely across demographic groups, creating disparities in access and utilization.
  • Disparities in care are closely tied to income, race, and geography. Many individuals encounter barriers to care and may have limited access to employer-sponsored resources. Tailored approaches are needed to ensure equitable access to care.

These findings emphasize the need for targeted strategies that address the medical, social, and systemic barriers to obesity care while improving awareness and engagement.

3 ways employers can help address health disparities in obesity care

Employers can help reduce health disparities for individuals with obesity by:

Addressing obesity as a root cause disease. 

 

Many health plans focus on managing obesity-related conditions, such as diabetes or hypertension, rather than obesity itself. Employers can partner with health plans to cover comprehensive, evidence-based treatments — including medical therapies, behavioral therapy, and nutrition counseling — to support long-term, sustainable health improvement.

Understanding the risks related to social drivers of health (SDOH) risks to support health plan decision-making. 

 

Social drivers like food insecurity, transportation challenges, and housing instability significantly impact an individual’s ability to access care. Employers can use predictive models to identify at-risk employees and offer targeted solutions, such as transportation assistance for medical appointments, food subsidies, or housing support. Addressing these barriers is especially critical for individuals with low health ownership, who may require additional support to engage in care.

Raising awareness of weight management program benefits. 

 

Despite availability, awareness and participation in weight management programs remain low. Employers can boost engagement with clear communication, simplified enrollment, and culturally tailored outreach. Digital tools, care coordinators, and targeted messaging can help make programs more accessible and appealing.

Parting thoughts

A holistic approach — combining medical care, social support, and increased program education — can help employers reduce disparities in obesity care. This investment supports a healthier, more productive workforce while lowering medical costs and fostering long-term organizational success.

Obesity Health Disparities

Examining the relationship between health equity and obesity for commercial health plan members with overweight and obesity status.

*Advisory Board is a subsidiary of Optum, a division of UnitedHealth Group. All Advisory Board research, expert perspectives, and recommendations remain independent.


About the sponsor

Novo Nordisk is a leading global healthcare company that's been making innovative medicines to help people with diabetes lead longer, healthier lives for more than 100 years. This heritage has given us experience and capabilities that also enable us to drive change to help people defeat other serious chronic diseases such as obesity, rare blood, and endocrine disorders. We remain steadfast in our conviction that the formula for lasting success is to stay focused, think long-term, and do business in a financially, socially, and environmentally responsible way. With U.S. headquarters in New Jersey and commercial, production and research facilities in seven states plus Washington DC, Novo Nordisk employs approximately 8,000 people throughout the country. For more information, visit novonordisk-us.com, Facebook, Instagram, and X.

This article is sponsored by Novo Nordisk, an Advisory Board member organization. Representatives of Novo Nordisk helped select the topics and issues addressed. Advisory Board experts wrote the report, maintained final editorial approval, and conducted the underlying research independently and objectively. Advisory Board does not endorse any company, organization, product or brand mentioned herein.

To learn more, view our editorial guidelines.


Sponsored by

This article is sponsored by Novo Nordisk. Advisory Board experts wrote the article, maintained final editorial approval, and conducted the underlying research independently and objectively.

Learn more about Novo Nordisk


SPONSORED BY

INTENDED AUDIENCE

AFTER YOU READ THIS
  • You'll understand the challenges people with obesity face every day.
  • You'll know how to reduce health disparities for people with obesity.

AUTHORS

Emily Schmidt

Senior writer and editor, Sponsorship

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INDUSTRY SECTORS

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