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71 <br /> FY 2026-27 Expenditure Budget <br /> Health Insurance Cost Drivers <br /> Consecutive years of 5%+ cost increases with no change in benefits Rate Increases for Health Insurance <br /> or costs to employees — premiums, deductibles, co-pays $16,000.00 — <br /> $15,000.00 — <br /> • Cost drivers for medical benefits o$14,000.00 $13,485 <br /> Q <br /> - Cancer treatment cost increasing 34%-50% based on new E $13,000.00 <br /> ILI <br /> treatments being put into use and aging population a $12,000.00 — <br /> Musculoskeletal surgery cost increasing 11% 0 $11,000.00 11,933 <br /> $11,258 <br /> - Psychiatry costs increasing 12% - specialist utilization above @ $10,000.00 $10,671 <br /> industry standard $10,162 <br /> $9,000.00 $9,679$9,679$9,679 <br /> s $9,136 <br /> $8,000.00 <br /> • Cost drivers for pharmacy benefits $7,000.00 <br /> - Pharmacy costs up 41% $6,000.00 <br /> 2019 2020 2021 2022 2023 2024 2025 2026 2027 <br /> - Use of GLP-1's for weight loss has increased by 5 times — coverage Fiscal Year <br /> adds $1.1 million to the cost of the health plan <br /> —Employee Only Traditional Plan <br /> - Other employers that cover GLP-1's have also required a "catch- <br /> up" adjustment due to high demand <br /> ORANGE COUNTY <br /> 12 NORTH CAROLINA <br />