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2018 Sun Life Report: High-Cost Claims Data Trends to Watch

By Jeremy Charbonneau  

Sun Life recently published their sixth annual Stop-Loss Research Report about current trends in high-cost claims data. The report highlights the top ten high-cost claims conditions, high-cost injectable drugs, as well as million-dollar claims trends.

According to Sun Life Financials’ 2018 Report, “Million-dollar medical claims increased 87 percent from 2014 – 2017. Patients with claims over $1 million represented only 2 percent of the total number of stop-loss claims from 2014-2017, but about 20 percent, or nearly $600 million, of the total $3 billion in stop-loss reimbursements.”

Percentage of employers with $1M+ claim segmented by employer size

 

 

 

 

 

Are you taking a proactive approach to managing your benefits plan to reduce unnecessary costs? What are you doing to prepare? At Paradigm Group, we have the insight and expertise to make sure you’re utilizing effective cost-containment strategies to manage your medical and pharmacy claims experience.

Source: 2018 Sun Life Stop-Loss Research Report: High-cost claims and injectable drug trends

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