2026 State of Healthcare Spend
We surveyed more than 1,500 CEOs and senior Finance and HR leaders at small and midsize employers to understand how rising healthcare costs are reshaping benefits decisions and what they expect from their advisors next.
The 2026 State of Healthcare Spend has the data behind this shift.
What's inside
How costs are hitting SMBs
Why rising healthcare costs are hitting small and midsize employers the hardest and what a renewal spike really does to an employer’s bottom line.
What’s driving healthcare spend
The short list of conditions driving a disproportionate share of spend and where intervention pays off.
How employers are responding
Where interest in new funding models is highest, how priorities differ by region, and what employers now expect from their advisors.
