Carrum Health Reaches 10 Million Covered Lives Amid Rising Specialty Care Costs
Carrum Health has announced a significant milestone, reaching 10 million covered lives after adding 3.5 million new members this year. This growth comes as employers face a 'triple squeeze' of rising specialty care costs, surging arbitration payouts under the No Surprises Act, and shifting financial burdens due to federal Medicaid cuts and expired ACA subsidies. To combat projected healthcare cost increases of up to 9.2% by 2027, more than 70 Fortune 500 companies are pivoting toward value-based specialty care models. Carrum Health's network has expanded to over 1,550 centers of excellence (COE) covering specialties such as musculoskeletal procedures, cancer care, and general surgery. The company aims to insulate employers from unpredictable out-of-network billing through all-inclusive, pre-negotiated surgical episode rates.
Topics: covered lives growth healthcare costs specialty care spending value-based care