HIT Consultant July 18, 2025
What You Should Know:
– The U.S. healthcare system is entering 2026 with medical cost trends reminiscent of 15 years ago, facing persistent inflationary forces and significant federal policy changes, according to a new report from PwC.
– The report, “Medical Cost Trend: Behind the Numbers 2026,” projects the Group medical cost trend to remain at 8.5% in 2026 (the same level as 2025) and the Individual market trend at 7.5%. Pharmacy costs are a particular concern, projected 2.5 points higher than the medical trend.
PwC’s health researchers surveyed and interviewed actuaries at 24 U.S. health plans, covering over 125 million employer-sponsored members and 12 million Affordable Care Act (ACA) marketplace members, to generate these projections. All previously projected...
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