Oliver Wyman January 7, 2026
Rohith Banerjee, Hailey Fowler, and Julia Goldner

By 2030, payers will orchestrate real-time cost management, new networks and value-based incentives, and specialty pharmacy strategies across healthcare.

Concerns about affordability are everywhere. For healthcare executives, it isn’t just a policy debate or headline; the problem goes to the heart of their business — ensuring access and quality care for consumers. The dilemma is especially daunting for insurers who bear the brunt of public anger as premiums and deductibles climb and in-network options shrink.

Without decisive action, healthcare costs will continue to spiral out of control. Just looking at employer-sponsored coverage, the average cost per employee is projected to rise by 6.7% in 2026, according to Mercer’s National Survey of Employer-Sponsored Health Plans, the largest spike in 15 years.

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