Healthcare prices have been a key problem for employers in 2025, and that is solely anticipated to proceed in 2026, in keeping with Morgan Well being CEO Dan Mendelson.
Morgan Well being is a JPMorgan Chase enterprise unit targeted on employer-sponsored insurance coverage. Mendelson just lately launched his prime developments to look at in 2026 for employer-sponsored medical insurance, and the way its portfolio firms are supporting these developments:
1. Affordability is a prime concern: This is applicable to shoppers, small companies and huge firms. In line with the Enterprise Group on Well being, employers challenge a median 9% improve in healthcare prices subsequent 12 months.
“It’s a tough time for them to soak up these will increase, particularly given normal inflation,” Mendelson stated in an interview. “Employers, I believe, particularly, are taking a look at what they’re paying for healthcare and saying it’s received to be higher than this, as a result of the prices maintain going up, and it looks like the healthcare supply system continues to deteriorate.”
Morgan Well being is an investor in a number of digital well being firms that deal with these rising prices, together with most cancers care firm Thyme Care and different well being plan Centivo.
2. Drug prices: As new medicine emerge, managing prices fastidiously is crucial. Employers have to replace how they deal with danger and supply medical steering to make sure sufferers can entry modern remedies with out overspending, particularly as dearer drugs grow to be accessible. GLP-1 prices can even proceed to be a magnet for employers.
Morgan Well being portfolio firms addressing excessive drug prices embrace Aradigm, which is focussed on cell and gene therapies, and Thyme Look after most cancers medicine.
3. Superior analytics: Leveraging superior analytics is crucial to offering higher-quality care, and AI will proceed to make waves in administrative and medical settings. Morgan Well being portfolio firms that sort out these areas embrace Merative, which curates information for employers, and Personify Well being, which makes use of AI to personalize take care of sufferers.
4. Small companies want help: Small and mid-sized companies are anticipated to face double-digit premium will increase. It is a group that Morgan Well being is especially targeted on supporting, in keeping with Mendelson, and the corporate is an investor in Venteur, which presents ICHRA options for small companies. ICHRAs (Particular person Protection Well being Reimbursement Preparations) enable employers to supply their workers pre-tax {dollars} to buy medical insurance.
“Anyone who has ever run a small enterprise has struggled with the price of offering protection for employees, and the merchandise that small companies are being provided are typically not as sturdy as what massive companies can entry,” Mendelson stated.
5. A shift towards consumer-focused care: Folks need extra management and help of their healthcare selections, which firms like Personify Well being and Fuze Well being deal with, in keeping with Mendelson. The latter brings care into sufferers’ houses.
“Customers have grow to be accustomed to having a powerful degree of data in all different domains: in buying, going surfing to search out presents for family members in the course of the holidays; in banking, seeing your info,” he stated. “In healthcare, shoppers haven’t been given a whole lot of energy up till comparatively just lately, and a whole lot of the facility that customers have is coming from AI. … The shift that we anticipate over the following couple of years is that shopper well being advantages are going to more and more be capable of empower individuals to make good well being care selections, and a part of it’s getting info to shoppers inside their very own workflow.”
Photograph: MicroStockHub, Getty Pictures
