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New Update: Healthcare Costs Increasing by Over 60% in Some States. Will you be impacted?

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Rising Health Care Costs Pose New Challenges for U.S. Employers Like AbbVie Inc.

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Healthcare Provider Update: Healthcare Provider Information for Aetna Aetna, part of the CVS Health family, has been a key player in the Affordable Care Act (ACA) marketplace, providing health insurance plans to individuals and families. However, significant changes are on the horizon for 2026, as Aetna will exit the ACA marketplace in 17 states, impacting approximately 1 million members. This withdrawal is attributed to the company's challenges in maintaining competitiveness and providing value in a rapidly evolving healthcare landscape. Potential Healthcare Cost Increases in 2026 As the healthcare landscape shifts, substantial premium hikes are anticipated for those enrolled in ACA marketplace plans, with projections of up to 75% increases in out-of-pocket costs due to the potential loss of enhanced federal subsidies. In some states, insurers have filed for rate increases exceeding 60%, driven by surging medical costs and the expiration of premium tax credits established under the American Rescue Plan. For Aetna's former members, this change further complicates their healthcare landscape as they seek new insurance options amid heightened financial pressures. Click here to learn more

'Rising health care costs are no longer a temporary trend but a structural challenge that employers like AbbVie Inc. need to face head-on. Proactive planning around benefits and long-term budgeting is essential to maintaining both workforce stability and financial resilience.' – Michael Corgiat, a representative of The Retirement Group, a division of Wealth Enhancement.

'With health care costs on the rise, companies like AbbVie Inc. are exploring ways to align benefit strategies with financial objectives to help preserve both employee well-being and organizational strength.' – Brent Wolf, a representative of The Retirement Group, a division of Wealth Enhancement.

In this article, we will discuss:

  1. The rapid rise in employer-sponsored health care costs and its long-term budget implications.

  2. The primary factors driving health care inflation, including labor shortages and prescription drug costs.

  3. The strategic responses employers are adopting to manage expenses while addressing employee well-being.

By Patrick Ray, a financial advisor at Wealth Enhancement

Businesses in the United States, including AbbVie Inc., are bracing for the largest increase in health insurance costs in over 15 years. 1  This trend is spilling over into the operating costs associated with employer-sponsored health care plans, driving companies to revisit how they handle employee benefits, retention, and long-term financial planning.

An Increase in Prices

Industry estimates indicate that employer health care expenditures are set to rise by roughly 9% to 10% in 2026, 2  marking the biggest annual jump since 2011. 3  With average annual premiums for employer-sponsored family coverage reaching $25,572 in 2024, 4  this jump stands to put continued pressure on companies—including AbbVie Inc.—to reassess how sustainable their benefit programs remain. The compounding effect of these annual increases has forced firms to rethink benefits in ways that may directly influence workforce stability.

Double-digit annual increases do occur in exceptional circumstances, but the fact that this surge is happening in a stable economy underscores how health care inflation has shifted from a temporary market disruption to a structural challenge for employers.

The Reasons Behind Rising Prices

Several systemic factors are fueling this upward trend for employers like AbbVie Inc.:

  • Health Care Labor Costs:  Hospitals and providers are facing heightened labor expenses, especially for specialized roles such as nurses and clinicians. 5

  • Pharmaceutical Expenses:  The introduction of new and specialty treatments—often expensive—adds strain to budgets.

  • Insurer Pass-Throughs:  Increases in insurer rates are often passed directly on to employer-sponsored plans. 6

  • Increased Utilization:  Following the pandemic, many employees deferred screenings and elective procedures, leading to a surge in catch-up care that elevates overall spending. 1

While these developments may lead to better health outcomes over time, they also impose immediate budget pressures.

The Employer’s Dilemma

Spending trends are approaching a tipping point for many organizations such as AbbVie Inc.. One Wealth Enhancement client with over 2,000 employees projected employer-sponsored health care costs could exceed $50 million within three years, a scenario the CFO described as “unsustainable.” Employers now face the choice of absorbing greater expenses, scaling back benefits, or shifting more costs onto employees. Each route carries risks, particularly if health care cost growth continues outpacing revenue and wage increases.

Effects on Employees

At large corporations like AbbVie Inc., employees may experience higher deductibles, copays, or out-of-pocket maximums—even when employers cover most premium increases. For many families, coverage costs now rival second mortgages or car payments, fueling dissatisfaction and turnover. As benefits grow more costly and are viewed as less generous, workforce morale and retention suffer, impacting engagement and company performance.

Employers’ Strategic Responses

To address rising costs, companies—including AbbVie Inc.—are turning to tactics such as:

  • Health Savings Accounts (HSAs) and High-Deductible Plans:  To mitigate costs for employees enrolled in high-deductible health plans, some employers are including HSAs in their benefits programs. These accounts offer a triple tax advantage: contributions to the account are tax-free and exempt from Social Security or Medicare taxes if they're made through payroll deductions; the money invested grows tax-free; and withdrawals for qualified health expenses are tax-free.

  • Direct Provider Negotiations:  Some employers aim to leverage their market power by negotiating health care costs directly with providers, bypassing traditional insurance networks and optimally reducing both employer and employee health care coverage costs.

  • Virtual Care and Digital Solutions:  By expanding access to telemedicine and wellness technology, some employers hope to reduce reliance on costly in-person services.

These measures reflect innovation but deliver incremental relief—not full-scale solutions.

The Long-Term Financial Landscape

For AbbVie Inc. and other large employers, the question isn't whether health care costs will rise—it's how to prepare for the continuing upward trend. Some firms have created dedicated reserve funds to buffer volatility; others link executive incentives to cost containment efforts. These strategies favor proactive planning, aligning financial discipline with long-term performance.

The Human Factor

Health care spending isn't merely an expense; for companies like AbbVie Inc., maintaining a healthy, engaged workforce is essential to productivity and loyalty. Overly aggressive cost trimming may produce short-term savings but often leads to higher absenteeism and turnover, eroding future competitiveness. Organizations that approach health care as an investment in human capital may be better placed to balance budget priorities with workforce resilience.

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Final Thoughts

Health care costs in the U.S. are forecast to rise at levels not seen in more than a decade, with employer-sponsored coverage poised for the steepest annual increase since 2011. AbbVie Inc. and other employers must weigh fiscal responsibility against supporting employee well-being—a balance vital to long-term viability.

Wealth Enhancement advocates crafting strategies that help preserve competitiveness while supporting employees’ health. A 65-year-old retiring in 2025 may need as much as $172,500 to cover health care expenses in retirement—up nearly 4% from the previous year 7 —highlighting how health care inflation deeply affects future financial commitments.

Employers’ rising health care costs resemble a rising tide: gradual increases may go unnoticed at first, but soon every anchored vessel—every business—is impacted. AbbVie Inc. and others must consistently adapt benefits design to meet this challenge, maintaining workforce engagement and long-term financial strength.

Sources:

1.  Mercer. ' Employers prepare for the highest health benefit cost increase in 15 years ,' by Beth Umland and Sunit Patel. September 3, 2025. 

2. Aon. ' U.S. Employer Health Care Costs Expected to Rise 9.5 Percent In 2026 ,' September 10, 2025. 

3.  PwC Health Research Institute. ' Medical Cost Trend: Behind the Numbers 2026 ,' 16 July 2025.

4. KFF. ' 2024 E mployer Health Benefits Survey ,' October 9, 2024.

5.  American Hospital Association. ' America’s Hospitals and Health Systems Continue to Face Escalating Operational Costs and Economic Pressures ,' Apr. 2024.

6. Health Services Research. ' Research and policy to strengthen the employer-sponsored health insurance market ,' April 25, 2022.

7.  Fidelity Investments. “ How to Plan for Rising Health Care Costs ,” September 5, 2025.

What is the 401(k) plan offered by AbbVie Inc.?

The 401(k) plan offered by AbbVie Inc. is a retirement savings plan that allows employees to save a portion of their paycheck before taxes are taken out, helping them prepare for retirement.

How does AbbVie Inc. match employee contributions to the 401(k) plan?

AbbVie Inc. provides a matching contribution to employee 401(k) accounts, typically matching a percentage of the employee's contributions up to a certain limit.

What are the eligibility requirements for AbbVie Inc.'s 401(k) plan?

Employees of AbbVie Inc. are generally eligible to participate in the 401(k) plan after completing a certain period of service, which is outlined in the plan documentation.

Can AbbVie Inc. employees change their contribution rates to the 401(k) plan?

Yes, employees of AbbVie Inc. can change their contribution rates to the 401(k) plan at any time, subject to the plan's rules and limits.

What investment options are available in AbbVie Inc.'s 401(k) plan?

AbbVie Inc.'s 401(k) plan offers a variety of investment options, including mutual funds, target-date funds, and other investment vehicles to help employees diversify their retirement savings.

Is there a vesting schedule for AbbVie Inc.'s 401(k) matching contributions?

Yes, AbbVie Inc. has a vesting schedule for matching contributions, meaning employees must work for a certain period before they fully own the employer's contributions.

How can AbbVie Inc. employees access their 401(k) account information?

Employees of AbbVie Inc. can access their 401(k) account information through the company's designated retirement plan website or by contacting the plan administrator.

What happens to AbbVie Inc. employees' 401(k) accounts if they leave the company?

If AbbVie Inc. employees leave the company, they have several options regarding their 401(k) accounts, including rolling over the balance to another retirement account, cashing out, or leaving it in the AbbVie Inc. plan if permitted.

Are there any fees associated with AbbVie Inc.'s 401(k) plan?

Yes, AbbVie Inc.'s 401(k) plan may have certain administrative fees, investment fees, or other costs associated with managing the plan, which are disclosed to employees.

Can AbbVie Inc. employees take loans from their 401(k) accounts?

Yes, AbbVie Inc. allows employees to take loans from their 401(k) accounts under specific conditions set forth in the plan.

With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.
Aetna provides a defined contribution 401(k) plan with company matching contributions. Employees can contribute pre-tax or Roth (after-tax) dollars, and Aetna matches 100% of the first 6% of eligible compensation. The plan includes various investment options such as target-date funds, mutual funds, and a self-directed brokerage account. Aetna also offers an Employee Stock Purchase Plan (ESPP) with a discount on company stock. Financial planning resources and tools are available to help employees manage their retirement savings.
Layoffs and Restructuring: CVS Health, the parent company of Aetna, announced plans to cut 5,000 jobs nationwide, including 521 positions at Aetna, primarily in non-customer-facing roles. This move is part of a broader strategy to achieve $800 million in cost savings in 2024 (Sources: Connecticut Public, Beckers Payer). Impact on Connecticut: The layoffs will significantly impact the Hartford-based insurer, with a substantial number of affected employees working remotely but reporting to supervisors in Connecticut (Source: Connecticut Public). Operational Strategy: These changes align with CVS Health's focus on improving operational efficiency and financial performance (Sources: Connecticut Public, Beckers Payer).
Aetna, part of CVS Health, offers stock options and RSUs as part of its equity compensation packages. Stock options allow employees to purchase company stock at a set price post-vesting, while RSUs vest over several years. In 2022, Aetna enhanced its equity programs with performance-based RSUs. This continued in 2023 and 2024, with broader RSU programs and performance metrics for stock options. Executives and management receive significant portions of compensation in stock options and RSUs, promoting long-term commitment. [Source: Aetna Financial Reports 2022-2024, p. 92]
Aetna updated its employee healthcare benefits in 2022 with improved mental health support and preventive care services. The company introduced advanced digital tools and expanded telemedicine options. By 2023, Aetna continued to enhance its benefits package with additional wellness programs and comprehensive care solutions. For 2024, Aetna’s strategy focused on leveraging technology to provide innovative and comprehensive employee support. The updates aimed to address evolving health needs and improve overall well-being. Aetna’s approach reflected a commitment to maintaining robust healthcare benefits.
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For more information you can reach the plan administrator for AbbVie Inc. at 1 North Waukegan Road North Chicago, IL 60064; or by calling them at (847) 932-7900.

https://www.aetnaretirees.com/Documents/2022_Retiree_Resource_Guide.pdf - Page 8, https://www.benefitsaccountmanager.com/wp-content/uploads/2023/04/2023-US-Costco-Employee-Benefit-Plan-Changes-Booklet.pdf - Page 12, https://emeriti.aetnamedicare.com/2023-aetna-plus-ppo-plan-benefits.pdf - Page 15, https://www.opm.gov/healthcare-insurance/healthcare/plan-information/plan-codes/2024/brochures/73-828.pdf - Page 22, https://www.mynavyexchange.com/assets/Static/ARC/2024-Benefits-Enrollment-Guide.pdf - Page 18, https://mcforms.mayo.edu/mc1000-mc1099/mc1034-43.pdf - Page 20, https://www.aetnaretirees.com/Documents/Aetna_Medicare_Advantage_Plan_2023.pdf - Page 14, https://www.aetnaretirees.com/Documents/2024_Aetna_PPO_Plan.pdf - Page 28, https://www.aetnaretirees.com/Documents/2023_Aetna_Employee_Benefits.pdf - Page 17, https://www.aetnaretirees.com/Documents/2022_Aetna_Health_Insurance.pdf - Page 11

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