Introduction

Lockton’s People Solutions Market Update offers comprehensive quarterly insights on the U.S. market dynamics impacting cost management, employee wellbeing, and benefits strategies. In this Q4 2025 edition, we explore the broader industry forces behind system-wide strain and connect high-cost claims analysis with a full picture of how widespread market pressures are shaping employer plan costs.


Contents

Q4 snapshot

Navigating market pressure and higher claims

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Watch: Candid roundtable discussion

Inside today's U.S. healthcare landscape

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How market pressures cascade throught health systems & employer plans

Market backdrop

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Impact on fully insured and self-funded employer health plans

High renewal increases for fully insured plans

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High-cost claimants increase financial risk

Claims deep dive

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Moving forward with intention

Future focus

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Contributors

Shannon Demaree, ASA, MAAA, FCA

EVP, Regional Executive, People Solutions

Rich Allen

VP, Medical Analytics Leader

Chris Bartnik CLU, RHU, REBC, CLF, CHHC

SVP, Growth and Innovation Leader, NE Series

Shealynn Buck, MD

Chief Medical Officer

Kerry Shea McArthur, CEBS

VP, Portfolio Manager

Tyler Mertel

SVP, Unit Leader

Tracy Perez, CEBS

SVP, Director of Collaborative Consulting

Tammy Quinn

SVP, Director of Data Analytics

Slayton Rous

VP, Growth and Strategy, Stop Loss

Chase Wagner

VP, Director of Marketing, People Solutions

Anna Younger

Healthcare Strategy and Innovation Director

Jenae Johnson

Content Strategist, People Solutions

Q3 2025 Market Update recap

As employers respond to a pressured environment as seen in our Q2 2025 Market Update, costs continue to rise. In the Q3 2025 edition, we explored the higher-than-expected medical and pharmacy cost projections emerging from Lockton’s 2025 Trend Study.

Read the Q3 update

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