Q4 2025 snapshot
Navigating market pressure & higher claims
Employers are heading into 2026 in an environment shaped by system-wide financial strain, rising renewals, growing risk, and accelerating costs.
01
The market is strained
Inflation, volatility, and provider pressure are reshaping pricing and access.
02
Plans are under pressure
Fully insured and self-funded groups face higher renewals and financial risk.
03
High-cost claims are escalating
Claims from members with $100K+ in combined medical and pharmacy spend are rising sharply, driven by acute and specialty care costs.
