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High-Cost Claimant 2025 Report: Where Health Claims Are Accelerating for Employer Plans (PDF)
Lockton
Dec. 16, 2025 16 pages. "Approximately 1% of an employer's health plan members have annual claims higher than $100,000, but they account for 33% of total spend.... The proportion of claimants with annual costs exceeding $1M rose by more than 45% from 2022 to 2024, with the steepest growth among million-dollar claimants, particularly those exceeding $2M.... Only 21% of high-cost claimants (HCCs) persist year over year, increasing renewal uncertainty and complicating forecasting" MORE >> |
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