US EditionCancer Still Tops High-Cost Health Claims but Muscle and Orthopedic Conditions Are Making Surprise Surge: Sun Life Report
- Sun Life released its 13th-annual high-cost claims analysis on June 4, 2025, highlighting cancer and musculoskeletal conditions driving healthcare expenses in the U.S.
- The report analyzed over 65,000 health claims from 3,000 self-funded employers between 2021 and 2024, noting a 29% rise in million-dollar stop-loss claims this year.
- Cancer remained the leading cost driver in 2024, with $1.2 billion spent on malignant neoplasms, while orthopedic and musculoskeletal conditions rose sharply in prevalence, securing a position among the three most expensive categories for the first time.
- Keytruda accounted for the highest drug spend at $84.4 million, and two members received gene therapies costing $6.8 million in 2024, contributing to high uncategorized drug expenses.
- Sun Life continues engaging members early and applying targeted interventions to help manage rising costs and improve outcomes for employers with self-funded plans.
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Charleston Gazette-Mail+29 Reposted by 29 other sources
Cancer still tops high-cost health claims but muscle and orthopedic conditions are making surprise surge: Sun Life report
13th-annual high-cost claims analysis highlights soaring healthcare expenses with cancer, cardiovascular and musculoskeletal leading the way
·Charleston, United States
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Research shows that regular physical activity and targeted training can prevent and alleviate pain while keeping more people in work. Despite known benefits, training during working hours is still rarely an integrated part of working life.
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