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Multimillion-dollar medical claims continue to rise

Sun Life US's "High-Cost Claims and Injectable Drug Trends Analysis" report reveals that 87% of self-funded employers faced high-cost claims from 2020 to 2023, with cardiovascular disease (CVD) rising significantly in claims costs. Click here for article.

  • Cardiovascular Disease Surge: CVD claims have risen to the second-highest paid claims, with costs increasing by 33% since 2020.

  • Top Medical Expenditures: Malignant neoplasms (solid tumors) continue to lead in medical expenditure, doubling that of CVD.

  • Rising Claims Costs: Newborn and infant care claims saw a notable increase, with an average annual cost of $470,800, and orthopedics/musculoskeletal conditions ranked fourth in reimbursements.

  • Multimillion-Dollar Claims: Claims exceeding $1 million are increasing across all top 20 categories, with the highest reaching over $11 million, particularly for newborn and infant care.

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