More than half of insurance brokers (56%) are now actively recommending or implementing ICHRAs.

New research on GLP-1s point to a clear need for more sustainable models—ones that pair access with clinical oversight, behavior change and cost management strategies.

While nearly three-quarters of healthcare executives believe their own organizations will be as strong or stronger in 2026, more than half expect the healthcare industry overall to face a worse year ahead, according to a new survey of industry executives.

Consumers are increasingly using HSAs to purchase over-the-counter medications, medical supplies and wellness products alongside everyday purchases.

"This disconnect means that engagement alone is no longer a reliable signal of workforce stability," said Bill Schuh, Firstup's CEO.

In the same survey, 45% of respondents said they would feel panicked and 34% would go into debt or don't know how they would pay.

Officials at Moody's said health insurers are facing low margins across most market segments, and companies likely will focus on redesigning medical plans, reducing benefits, and exiting less profitable markets and geographies.

People with health spending in the top 1% spent an average of $150,467 per year.