It was found that one in three U.S. employers plans to make significant changes to their healthcare programs within the next three years as costs rise to their highest point in more than two decades, according to a survey published by WTW.

The 2025 Best Practices in Healthcare Survey found that U.S. employers project their healthcare costs, before plan changes, will increase by 9.1% in 2026, compared with 8.1% in 2025 and 7.0% in 2024. After planned program adjustments, costs are expected to rise 8.0%, 7.0%, and 6.0% in those years.

The survey, conducted in June and July 2025, included 417 employers representing five million employees.

Pharmacy costs, especially specialty pharmaceuticals and GLP-1 medications, were cited as high-cost claimants, and chronic conditions, including musculos

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