Healthcare cost insights from 1,500 small and midsize employersRead more
REPORT

New Research on What's Driving Costs for SMB Employers

We surveyed 1,589 CEOs and senior Finance and HR leaders on rising healthcare costs, changing priorities, and what employers expect from their advisors next.

The 2026 State of Healthcare Spend has the data behind this shift.

2026 State of Healthcare Spend hero

What's inside

What’s driving employer healthcare costs
Including the high-cost conditions putting the most pressure on plans from cancer and MSK to diabetes and GLP-1s.

How the SMB market is responding
How small and midsize employers are adjusting benefits strategy in response to sustained cost increases.

Why employers are exploring different funding models
What’s behind the shift away from traditional fully-insured plans.

What employers increasingly expect from their advisors
The advisor behaviors and insights employers say are shaping who they trust with renewal.

Key findings

79%Saw a double-digit healthcare spend increase in the last 12 months
77%Are exploring new health plan funding models
52%of employers say they're extremely likely or likely to switch brokers 
state of healthcare