Strategies to Mitigate Rising Health Care Costs in the U.S.

Dec 22, 2025, 3:45 AM

Hover over text to view sources

Health care costs in the United States have reached alarming levels, making it the most expensive system in the developed world. The average annual premium for an employer-based health insurance plan for a family of four exceeded $25,500 last year, with a 24% increase since 2019, and further surges are expected in the coming year.

Several factors contribute to these rising costs. For-profit entities, including drug manufacturers, pharmacy benefit managers, hospitals, and insurance companies, have collectively driven up the prices of medical care. The demand for health services has surged as more individuals return to medical facilities after pandemic-related delays, further exacerbating the situation.

Expanding Telemedicine

One potential solution to reduce health care costs is the expansion of telemedicine. The COVID-19 pandemic accelerated the adoption of telehealth services, which have been shown to be effective for various conditions, particularly chronic illnesses. Studies indicate that patients using telemedicine report high satisfaction levels, often finding it as effective as in-person visits.

Telemedicine can reduce overhead costs for healthcare providers and improve access for patients, especially those in rural or underserved areas. By minimizing the need for physical office space and allowing for more efficient scheduling, telemedicine can help lower overall health care expenses.

Reforming Insurance Structures

Another avenue for reducing costs involves reforming health insurance structures. Many employers are currently passing on increased health insurance premiums to their employees, which can lead to financial strain. Some companies, however, are opting to cover the full cost of premiums, thereby alleviating the financial burden on their workers. For instance, Boston Consulting Group covers all insurance premiums for its employees, which not only helps in recruitment but also enhances employee productivity by reducing financial distractions.

This model could be expanded to more employers, particularly small businesses and nonprofits, which could help stabilize costs for employees while maintaining a healthy workforce.

Addressing Pharmaceutical Pricing

Pharmaceutical pricing is another critical area that requires attention. The high costs of medications, particularly new and effective treatments, have significantly contributed to overall health care expenses. Policymakers could explore strategies to negotiate drug prices more effectively, ensuring that patients have access to necessary medications without exorbitant costs.

Additionally, implementing price transparency measures could empower consumers to make informed choices about their health care, potentially driving down prices through competition.

Conclusion

The surging health care costs in the US present a complex challenge that requires multifaceted solutions. By expanding telemedicine, reforming insurance structures, and addressing pharmaceutical pricing, stakeholders can work towards a more sustainable health care system. These strategies not only aim to reduce costs but also enhance access and quality of care for all Americans.

As the health care landscape continues to evolve, it is crucial for policymakers, employers, and health care providers to collaborate on innovative solutions that prioritize patient well-being while managing costs effectively.

Millions Face Health Insurance Premium Hikes as Subsidies Expire

As COVID-era subsidies for health insurance are set to expire, millions of Americans are bracing for significant premium increases. The expiration of enhanced premium tax credits could lead to average premium hikes of over 114%, impacting low- and middle-income enrollees the hardest.

Congress Left, Health Care Crisis Remains: Americans Suffer

As Congress adjourns without addressing critical health care reforms, millions of Americans face dire consequences. Recent legislation has led to significant cuts in health care programs, leaving many without coverage and increasing financial burdens on families.

Federal Government Sues Advocate Aurora Health Over Vaccine Policy

The US Equal Employment Opportunity Commission has filed a lawsuit against Advocate Aurora Health, alleging the health system discriminated against a nurse by denying her a religious exemption from the COVID-19 vaccine mandate. The lawsuit seeks reinstatement, back pay, and changes to the health system's policies.

Congress Adjourns Without Health Care Deal, Premiums Set to Rise

Congress has adjourned until 2026 without reaching an agreement on health care subsidies, leading to imminent premium increases for approximately 22 million Americans. While some lawmakers express hope for future negotiations, the current political landscape suggests significant challenges ahead.

Congress Adjourns, Enhanced Obamacare Tax Credits Set to Expire

Congress has left for the holidays without extending enhanced Obamacare tax credits, which are set to expire on January 1, 2026. This decision could lead to significant premium increases for millions of Americans, with some potentially losing their health coverage altogether.