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Healthcare’s Costs Crisis—and How to Fix It | Ellen Kelsay

It’s no secret that health care costs are skyrocketing, but new research from the Business Group on Health indicates a 54% compounded increase over the last decade. On this episode of Margin of Care, the group’s president and CEO, Ellen Kelsay, reveals why health care costs are getting out of control — and how cell and gene therapy is a part of the puzzle.

Key Takeaways:

  • Healthcare costs are up 54% over the past decade, with pharmacy now the top driver.

  • GLP‑1s, gene therapy, and mental health needs are forcing new affordability tradeoffs.

  • Employers are rethinking vendor accountability, quality steerage, and financial well-being.

  • AI has promise, but vendor fragmentation and pricing pass-through are major concerns.

00:00 – Intro + Guest welcome

01:20 – Why costs are up 54% over 10 years

03:50 – Pharmacy trend + GLP‑1 impact

06:30 – Cell/gene therapy + financial sustainability

09:00 – Vendor accountability + ROI

11:15 – Innovations: RFPs, biosimilars, quality steerage

14:30 – Consolidation vs. new entrants

16:45 – AI benefits + risks for employers

20:20 – Affordability strategies + wellbeing investment

23:40 – Stories of bold leadership + change

27:00 – Final advice to benefit leaders

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