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The real cost of absenteeism — and what you can do about it


Updated: May 21, 2025

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Health care costs have jumped almost 8% for 2025, the highest increase in more than a decade.1 These escalating costs have become a critical concern for employers. When it comes to employee health, cancer remains a costly condition, but more employers are pointing to cardiovascular conditions as their top 3 cost drivers.2  — as well as cost pressures from GLP-1 medications3

 

Your employees’ overall health affects your bottom line in several ways. When employees are in poor health, they’re likely to need time off work. Or they might work when they’re unwell. This is known as “presenteeism,” and it impairs job performance. Working while sick can delay an employee’s recovery time and increase their risk of future health problems — as well as absences.4 Presenteeism can also occur when an employee is dealing with physical pain, mental health issues, or burnout.

 

You might be unaware of the financial impact of lost productivity on your business. These indirect costs can affect your bottom line in ways that are less apparent than rate increases — but no less real. Productivity losses linked to absenteeism and presenteeism from chronic illnesses and injuries cost U.S. employers $2,945 per employee per year.5 That number includes sick days, short-term disability, long-term disability, and impaired job performance.

 

Smaller businesses feel the effect of absenteeism even more, since an employee who misses work due to illness represents a larger percentage of the company’s workforce. It isn’t as easy for a sick employee’s work to be transferred to another person in the department — often, the sick employee is the department.

 

 

Reducing absenteeism and presenteeism begins with a plan

Your employees’ health is a sound investment for your company. Research shows that employees in good health are more likely to be engaged with their work.7And for every $1 employers spend on health coverage, they get $1.47 back in direct medical costs, productivity, recruitment, retention, and more.8 As you evaluate health plans for your employees, consider how well they can help you minimize absenteeism and presenteeism costs in these areas:

Absenteeism and presenteeism cost U.S. employers $2,945 per employee per year

Prevention — Timely screenings for conditions like diabetes, high blood pressure, and colon, breast, and lung cancer can detect problems before they become serious for your employees. Screenings help your employees stay healthy, and help you reduce or avoid absenteeism and presenteeism.

 

Mental health support — Everyone can use support for their mental and emotional well-being. Look for a health plan that offers a variety of tools to help your employees handle life’s daily challenges — like stress, anxiety, relationships, and sleep. Some employees may prefer in-person support groups or classes, while others may want digital choices, like apps and text-based coaching.

Absenteeism and presenteeism cost U.S. employers $2,945 per employee per year
You can help control these costs through prevention, condition management, mental health support, and employee engagement

Condition management — Chronic conditions are among the leading drivers of health care costs for employers. For healthier employees and fewer sick days, consider plans that offer dedicated programs and resources to help your employees stay on top of their ongoing conditions, from hypertension to chronic pain.


Employee engagement — Engaged employees miss fewer workdays due to health issues and are more productive while on the job. Research finds that disengaged workers cost their company the equivalent of 18% of their annual salary.9 That’s $9,000 a year for an employee earning $50,000. Look for health plans that give your employees tools and wellness programs that help them take an active role in their physical and emotional well-being.

 

 

 

You can help control these costs through prevention, condition management, mental health support, and employee engagement

When you’re looking at the cost of different health plans, consider how those plans will help you minimize other care costs. And keep in mind, there’s more at play with your company’s health care expenses than just monthly rates.

Resources you may find helpful

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KP Care & Value
Value-based care designed to deliver maximum cost savings
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