Employers can take specific actions to address individual cost centers, such as adding services to support those with chronic diseases so they take their medications as prescribed.

In 2022, challenges will continue to mount for plan sponsors and their advisors as they battle to keep costs under control without gutting benefits.

"The top cost drivers for 2022 are similar to those of 2021, with musculoskeletal conditions and cancer ranking number one and two, respectively, followed by diabetes, cardiovascular and high-risk maternity," says Ellen Kelsay, president and CEO of Business Group on Health. "Prescription drug costs continue to accelerate at an alarming rate, specifically costs associated with specialty medications."

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Dan Cook

Dan Cook is a journalist and communications consultant based in Portland, OR. During his journalism career he has been a reporter and editor for a variety of media companies, including American Lawyer Media, BusinessWeek, Newhouse Newspapers, Knight-Ridder, Time Inc., and Reuters. He specializes in health care and insurance related coverage for BenefitsPRO.