Medical Cost Trend: Behind the Numbers 2025

Commercial health care spending growth is estimated to grow to its highest level in 13 years, according to PwC’s newest research into annual medical cost trend. PwC’s Health Research Institute (HRI) is projecting an 8% year-on-year medical cost trend in 2025 for the Group market and 7.5% for the Individual market. This near-record trend is driven by inflationary pressure, prescription drug spending and behavioral health utilization. HRI is also restating the 2023 and 2024 medical cost trends as higher than previously reported based on the input of health plans surveyed and their trend experience.

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Source: https://www.pwc.com/us/en/industries/health-industries/library/behind-the-numbers.html

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