Rethinking How We Mitigate High-Cost Claims

Few, if any, employers have the size, resources or focus to address rapidly escalating high-cost claims. Since 2016, the number of health plan members with claims $3M+ has doubled, heightening sustainability concerns. Elimination of annual and lifetime maximums through the Affordable Care Act and the dysfunction of the reinsurance market has made this a top priority for every employer, purchaser and market.