Heart Disease is the Second Costliest Ailment for U.S. Employers

Heart Disease is the Second Costliest Ailment for U.S. Employers

According to a new report by Sun Life, cardiovascular disease rose to second place on the list of highest stop-loss claim reimbursements during 2020-2023. For the first time in 12 years, since the report began, this condition surpassed blood cancer conditions.

Additionally, nearly 75% of all stop-loss claims came from the top 10 conditions, and 37% came from the top three health conditions. Here are the top 10 conditions according to the four-year report:

  1. Malignant neoplasms (solid tumors)
  2. Cardiovascular
  3. Leukemia, lymphoma and multiple myeloma (blood cancers)
  4. Newborn and infant care
  5. Orthopedics and musculoskeletal
  6. Respiratory
  7. Sepsis
  8. Gastrointestinal and abdominal
  9. Neurological
  10. Urinary and renal

Additional key findings from the Sun Life report to be considered are:

  • Five new drugs are on the 10 high-cost injectable drug list in 2023, which can treat cancer, immunodeficiency disorders, gout, and blood disorders.
  • The top 10 injectable drugs had over $10 million in total spending, and Keytruda is still leading in spending with $69.7 million.
  • Million-dollar claims rose 8% on a claims-per-million-covered-employees basis over the past year and are up 50% over the past four years.

Heart Disease

Heart disease refers to several types of heart conditions, one of the most common types of heart disease being coronary artery disease (CAD). CAD affects blood flow to the heart which may increase the risk of a heart attack.

It is important to know the key risk factors for heart disease. Around 47% of those in the U.S. have at least one of the three risk factors which include high blood pressure, high blood cholesterol, and smoking.

Additional medical and lifestyle factors that can also put one at a higher risk for heart disease include:

  • Diabetes
  • Overweight and obesity
  • Unhealthy diet
  • Physical inactivity
  • Excessive alcohol use

If you have questions regarding what conditions are driving up your claims, contact your dedicated Creative Benefits, Inc. team member.