Sep 28, 2026 | Artificial Intelligence, GLP-1s, High-cost claims, Neonatal conditions, Specialty Drugs, Stop-Loss, Trend
MedBen recetly noted that matching national trend in 2027 still means absorbing a large increase. A Fortune article points to the forces behind another year of elevated growth, including expensive drugs, high-cost treatments, and AI-enabled medical billing. Those same...
Sep 11, 2026 | Risk reduction, Stop-Loss, Transplants
Transplants remain a leading source of high-cost claims and can quickly reshape a plan’s stop-loss renewal. According to Milliman’s U.S. organ and tissue transplant report, a heart transplant alone can cost nearly $1.9 million in billed charges — enough to exhaust a...
Jul 7, 2026 | Cancer, Children, High-cost claims, Neonatal conditions, Stop-Loss
Tokio Marine HCC’s 2026 Annual Market Report shows children under age 10 now account for 39% of stop-loss claims exceeding $1 million — more than triple the share of any other 10-year age group. This concentrated risk creates new considerations for self-funded plans,...
May 27, 2026 | Cancer, Claims, Client Report, GLP-1s, Heart disease, Specialty Drugs, Stop-Loss, Trend
A new Sun Life analysis shows high-cost claims continue to strain employer health plans. The annual High-Cost Claims and Injectable Drug Trends report identifies comorbid conditions, long inpatient stays, and injectable specialty drugs as primary drivers of claims...
Feb 10, 2026 | Benefits Advisory Conference, Benefits management, Cancer, Caroline Fraker, Compliance, Forensic claims review, Gene therapy, GLP-1s, High-cost claims, MedBen University, No Surprises Act (NSA), Obesity, Orphan diseases, Pharmacy, Specialty Drugs, Stop-Loss, Transplants
Consultants and advisors from 10 different states attended the MedBen 2026 Benefits Advisory Conference on January 28. The event featured insights from some of the industry’s most respected voices and gave brokers a clearer view of today’s benefits landscape, what...
Sep 8, 2025 | Claims, High-cost claims, Stop-Loss
Stop-loss coverage is no longer just a safeguard – it’s essential for protecting your plan against escalating financial risk. Between 2013 and 2024, the frequency of claims exceeding $2 million grew by more than 1,250%, underscoring why having strong protection in...
