Benefit popularity is cyclical, and market trends and themes always seem to circle back into the foreground over time. However, the acceleration of technological innovation is propelling the benefit carousel faster each year, making it challenging for many brokers and employers to keep up with changes and new products in the market.

2018 focused on the individual's role in health care, and more specifically, their access to transparency tools,education and the adoption of technology to foster more informed health care consumerism. The spotlight on individual privacy, security, and protection continued to shine as well. As we close out the first quarter of 2019, I expect those trends to continue through the evolution of benefits on which we already rely as well as adoption of new, innovative products.

Looking back at 2018, we saw continued growth of several cornerstone benefits:

• Telemedicine adoption increased by employers, health care providers, and health systems; pro-telemedicine legislation passed; and services expanded beyond acute care into behavioral health, dermatology and more

• Constant data breach headlines and privacy concerns contributed to a continued rise in interest for identity theft protection

• Health care didn't become less complex or more transparent, so the need for health advocacy remained prevalent

These benefits are continuing to gain traction in 2019. As our comfort with telehealth technology increases, so do telehealth options. Behavioral health is one of the most popular developments for telehealth providers, as is the expansion of specialist offerings like second opinions and dermatology. Access to an expert medical opinion (or second opinion) through telehealth technology eliminates time spent traveling to another city or state to see a specialist, helps avoid unnecessary surgery by finding alternative treatment options, and ultimately saves individuals a great deal of time and money by ensuring correct diagnoses.