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U.S. employer health benefit costs projected to rise 8.2% in 2027, survey finds

A survey by Marsh projects the largest annual cost increase since 2003, driven by expensive treatments, provider leverage, and GLP-1 weight-loss drugs.

The short version

  • Total health benefit costs per employee are forecasted to rise by an average of 8.2% in 2027, according to a survey from consulting firm Marsh.
  • The projected increase would affect an estimated 165 million non-elderly Americans who rely on employer-sponsored health insurance.
  • Cost increases are driven by high-cost treatments for severe conditions like cancer, expensive GLP-1 medications, and provider consolidation.
  • Employees are expected to face higher paycheck deductions and higher deductibles as employers seek to manage escalating expenses.

Key facts

  • A summer survey by consulting firm Marsh found that total health benefit costs per employee are projected to climb by an average of 8.2% in 2027, marking the largest increase since 2003.[CBS News]
  • Without planned cost-cutting measures by employers, such as raising deductibles, Marsh estimated health plan costs would rise by an average of 11%.[CBS News]
  • Key factors behind the rising expenses include expensive treatments for illnesses such as cancer, climbing costs for prescription drugs including GLP-1 weight-loss therapies, and hospital network consolidation.[CBS News]
  • Roughly 165 million people under age 65 received health insurance through an employer in 2025, according to KFF.[CBS News]
  • A separate forecast by consulting firm Aon projected that employees will pay an average of nearly $5,300 in combined premiums and out-of-pocket expenses this year, up 7.9% from the previous year.[CBS News]

What remains uncertain

  • The exact proportion of cost increases that individual employers will absorb versus pass along to workers through higher payroll contributions and out-of-pocket requirements remains undetermined ahead of open enrollment.[CBS News]
  • It is uncertain how many employers will ultimately retain, limit, or drop coverage for high-cost GLP-1 weight-loss treatments.[CBS News]

Sources

Outlet counts describe coverage, not independent confirmation. Reports may share a wire service or original source.