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WTW 2026 Best Practices in Healthcare Survey: U.S. employer healthcare costs set to rise at fastest pace in more than two decades

$WTWPress releaseOct 28, 2026, 10:03 AM ETRead the release

WTW's 2026 Best Practices in Healthcare Survey finds U.S. employers project healthcare costs will rise 11.1% in 2027 before plan changes and 9.7% after — the fastest pace since the early 2000s and nearly three times wage growth. Pharmacy is the focal pressure, expected to rise 11.5% in 2026 and representing roughly 36% of total healthcare claims when medical-benefit drugs are included; GLP-1 coverage for weight loss declined for the first time in three years, from 57% of employers to 53%.

Key figures

Survey year
30
Employees covered
7000000
Survey respondents
471
Pharmacy share of claims
approximately 36%
Pharmacy cost increase 2026
11.5%
Projected cost rise 2027 after changes
9.7%
Projected cost rise 2027 before changes
11.1%

AI analysis

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AI-generated analysis of a public disclosure. Not investment advice; verify against the original document.