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Changes in health care economics

Costs continue to rise as the burden gets heavier on employers across health care services and solutions. With influences like shifting employment trends, deferred utilization, and pressures on unit costs, health care economics are getting more complex. 

What's trending in health care economics?

Plan design will impact health benefits cost increases. 
U.S. employers can expect health benefits costs to increase by 7%, but the shift can be reduced to 5.6% through plan management and strategic changes. [1]​ One of the top influences contributing to the rise in costs is the deteriorating availability of clinical labor staff. With cost increases looming, employers are refocusing on cost management strategies to slow increases over the long term while minimizing cost shifting to employees. Ready to discuss your strategy? Connect with an MMA consultant.

High-cost prescription drugs are a source of frustration. 
Eighty-seven percent of employers are concerned about the new million-dollar treatments getting approved by the FDA. It is estimated that in 2023, cellular and gene therapies will total between 70 per million members and 43 per million members, respectively, compared with just 7 per million members in 2020.​ [2]​ Thankfully employers have options to reduce their pharmacy spend. Estimate your pharmacy savings with MMA Rx Solutions.

High-cost claimants and utilization increases will keep health care costs high. 
For a variety of reasons, many individuals chose to forgo medical visits during the pandemic. The U.S. Bureau of Labor Statistics estimates that by 2024, a quarter of the workforce will be over the age of 55; of these, a third will be 65 or older, contributing to a higher need of care, increasing claims and health care costs

[1] National Survey of Employer Sponsored Health Plans 2022, 2022
[2] Gene Therapies and the associated financial risk, strategies and solutions, 2022

Dive deeper into health care economic trends

Dr. Masten and Rick Kelly discuss what's driving rising health care costs and what employers can do about it.

What could you save on your pharmacy spend?

On average, MMA Rx Solutions saves employers 15% on their pharmacy spend.


of all employers have adopted enhanced clinical management models beyond the standard health plan model. [1]


of employers surveyed say they are taking focused action to manage specialty drug costs.​ [2]


of American consumers with employer-sponsored insurance said they had deferred some care between March and September of 2021. [3]

[1] Top 3 Strategies Employers will use to Take on Health Care Inflation, 2022
[2] Gene Therapies and the associated financial risk, strategies and solutions, 2022
[3] Accident & Health Market Report 2022, 2022

Health care economics are getting more complex

MMA provides services tailored to fit your needs — all backed by a broad scope of global resources.

Download our 2023 Benefits Trends Report to help you build your strategy for 2023 and beyond.