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Issue #363 October 23, 2025
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This Week’s Health Care Fast Fact — Unlocking Health Benefits: Where Employer High-Cost Spending Often Goes
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This is the fourth in a series of EBRI Fast Facts related to the uneven distribution of health care spending. Health care use and spending are
highly concentrated, with a small share of individuals accounting for a disproportionate amount of total costs. These “high-cost claimants” typically
have complex and intensive medical needs, often related to chronic conditions. However, the definitions of high-cost claimants vary, commonly relying
on spending thresholds or percentile cutoffs. This Fast Fact examines the composition of spending in employment-based health plans and looks
at how spending on inpatient services, outpatient services, and prescription drugs varies by overall level of spending.
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2025 Health Benefits Symposium — Thank You!
Thank you to all attendees, both in person and
virtual, for making yesterday's Health Symposium a great success! Stay tuned for information on materials from the
event.
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EBRI Stakeholder Engagement Survey
EBRI is conducting a brief Stakeholder Engagement Survey to better understand how the employee benefits
industry — benefits professionals, policymakers, and partners — engage with our research and resources. Your feedback will help shape EBRI’s future priorities
— from new tools and data collaborations to potential innovations like AI search, podcasts, and enhanced digital experiences. Click here to take the survey.
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The Employee Benefit Research Institute and Greenwald Research Present the Annual Retirement Confidence SurveyThe Retirement Confidence Survey
gauges the views and attitudes of working-age and retired Americans regarding retirement, their preparations for retirement, their confidence regarding various aspects
of retirement, and related issues. The survey is the longest-running survey of its kind (over three decades in the field!) and is conducted annually by the Employee
Benefit Research Institute and the independent research firm Greenwald Research. This year, the Retirement Confidence Survey turns its attention to the
retirement challenges faced by workers and retirees who are caregivers of parents, spouses, or children with special needs. Contact Masha Romanchak at romanchak@ebri.org or (202) 775-6360 to become a partner today. Sign up by fall to take full advantage of partnership!
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Upcoming Research
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- "2025 EBRI Financial Wellbeing Employer Survey" by Jake Spiegel and Bridget Bearden
- "Benefits Consultants' Perspectives on Dental, Vision and Supplemental Health Benefits" by Bridget Bearden and Jake Spiegel
- "Expanding the Benefits Horizon: How Employers View Voluntary Offerings" by Jake Spiegel and Bridget Bearden
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Upcoming Events
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- October 28 — EBRI Research Committee Meeting (Members Only)
- December 10 — EBRI Board of Trustees Meeting (Members Only)
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f o l l o w u s
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EBRI 901 D St. SW #802 Washington, DC 20024 Copyright © 2025, Employee Benefit Research Institute, All rights reserved.
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