November 5, 2026
Strategic Insights
GLP-1 Spending and the Case for Comprehensive Cardiometabolic Care
Employer healthcare costs are projected to rise 8.2% per employee in 2027, with growing GLP-1 utilization adding to the pressure.¹ As employers reconsider coverage and tighten utilization controls,² the challenge extends beyond medication costs to the long-term management of obesity, diabetes, hypertension, and high cholesterol.
Our latest white paper examines the financial and clinical considerations shaping GLP-1 strategies, the evidence behind comprehensive cardiometabolic care, and new findings from Sword's GLP-1 wraparound pilot.
A closer look at the costs, risks, and opportunities
Inside the white paper, discover:
- The changing cost of GLP-1 coverage: Why employers are tightening utilization controls and rethinking their benefits strategies heading into 2027.²
- The clinical risks beyond weight loss: What research reveals about medication discontinuation, weight regain,⁵ and changes in lean mass during treatment.⁶
- The case for connected cardiometabolic care: Why clinical guidance supports combining GLP-1 treatment with structured nutrition and physical activity interventions,⁷ and how comprehensive care can address broader cardiometabolic needs.
- New findings from Sword's GLP-1 pilot: What member engagement, strength-training participation, and reported health improvements reveal about comprehensive support during treatment.⁴
Contributors to White Paper

Exploring the breakthroughs behind AI Care
Footnotes
- 1
Marsh. 2026 National Survey of Employer-Sponsored Health Plans, Preliminary Results. September 2, 2026.
- 2
Mercer. Survey on Health and Benefit Strategies for 2027. June 11, 2026.
- 3
Rodriguez PJ, Zhang V, Gratzl S, et al. Discontinuation and reinitiation of dual-labeled GLP-1 receptor agonists among US adults with overweight or obesity. JAMA Network Open. 2025;8(1).
- 4
Sword. GLP-1 Wraparound Pilot. Internal program data, March–June 2026. Unpublished findings. Patient Global Impression of Change assessment, n=90.
- 5
Wilding JPH, Batterham RL, Davies M, et al. Weight regain and cardiometabolic effects after withdrawal of semaglutide: the STEP 1 trial extension. Diabetes, Obesity and Metabolism. 2022;24(8):1553–1564.
- 6
Karakasis P, Patoulias D, Fragakis N, Mantzoros CS. Effect of glucagon-like peptide-1 receptor agonists and co-agonists on body composition: systematic review and network meta-analysis. Metabolism. 2025;164:156113.
- 7
World Health Organization. WHO Issues Global Guideline on the Use of GLP-1 Medicines in Treating Obesity. December 1, 2025.