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Voice of Business Blog

Understanding How Premium Dollars Are Used And What’s Driving Rising Costs

date
November 18, 2025

The following is Part IV of a 5-part Voice of Business Blog member post series from Excellus BCBS.


Health care costs continue to rise, impacting premium rates and putting pressure on small businesses. With the complexity of the health care system, it can be challenging for employees to understand just how their premium dollars are put to use.

We want to help. Click the logo to learn how premium dollars are used, and scroll down to see what’s driving costs:

Breaking down what is driving costs

In 2024, we spent $6 billion on medical and drug benefits for our members.

Examples of what’s driving high health care costs:

Tackling rising costs

Some of the ways we help members improve their health while also slowing rising costs include partnerships that:

We remain committed to improving the health of our members while collaborating across our entire health system to make health care as affordable as possible.

To download our cost-savings toolkits, which include resources and prewritten emails to share with employees, visit excellusforbusiness.com

*”Top Medical Costs by Conditions” include medical claims for fully-insured health plans, excluding prescription drug claims. The cost data in this section reflects claims incurred for a 12-month period ending November 2024 (paid through January 2025). Medical costs are also compared to the same period from the previous year.
**Prescription drug spending includes prescription claims in 2024 for all fully-insured health plans.
***Biosimilars Basics for Patients | FDA


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