Today I received results of a health care cost survey from International Foundation of Employee Benefit Plans (IFEBP). They outlined the primary reasons for cost increases, expected 2026 trends, etc. One of the biggest takeaways for me was the item labeled “Initiatives With the Most Anticipated Impact in 2026.” The top response was cost-sharing initiatives (e.g., deductibles, copays, contributions, etc.). While cost sharing strategies can be helpful, it raises an important question: how much runway do we really have left? According to the Kaiser Family Foundation, the avg deductible in 2006 was $584. As we head into 2026, it’s common to see that number 400% higher. (or even higher!) This leads to a broader conversation. Are our employees using urgent care when they can instead of the ER? Do they know how to use carrier price-transparency tools? Are they seeking preventive care? Is virtual care being used? Do we have a strong Employee Assistance Program? Employees can help control healthcare costs, often without realizing it, when they are informed, supported, and rewarded for making smart choices.
This is a great reminder that managing healthcare costs isn’t just about shifting dollars — it’s about helping employees make informed choices. Education and access go a long way.
Very insightful!
Great insight here, Jonathan. The runway on cost-shifting strategies is short. Add some behavioral change for both plan fiduciaries and members and we’re getting somewhere. Those who respond to change quickly have an advantage. Let’s keep helping them get there!