In September 2026, reporting on Marsh’s survey of 1,800 US employers indicated that average health-benefit cost per employee is expected to rise by 8.2% in 2027, the largest annual increase since 2003. The forecast already assumes that employers will make plan changes to reduce spending. Without those measures, the increase could reach about 11%. Fifty-nine percent of surveyed employers plan new cost-saving actions for 2027, including changes to deductibles